Provider Demographics
NPI:1891667440
Name:OLVERA CRUZ, VIRIDIANA GUADALUPE (RN)
Entity type:Individual
Prefix:
First Name:VIRIDIANA
Middle Name:GUADALUPE
Last Name:OLVERA CRUZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-4534
Mailing Address - Country:US
Mailing Address - Phone:863-558-2585
Mailing Address - Fax:
Practice Address - Street 1:5922 CATTLEMEN LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6204
Practice Address - Country:US
Practice Address - Phone:844-315-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program