Provider Demographics
NPI:1871339630
Name:CRUZ INSUA, MARILIN
Entity type:Individual
Prefix:
First Name:MARILIN
Middle Name:
Last Name:CRUZ INSUA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MADEIRA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4685
Mailing Address - Country:US
Mailing Address - Phone:786-817-5299
Mailing Address - Fax:
Practice Address - Street 1:44 MADEIRA AVE APT 2
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4685
Practice Address - Country:US
Practice Address - Phone:786-817-5299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist