Provider Demographics
NPI:1063790996
Name:CRUZ-ACEVEDO, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CRUZ-ACEVEDO
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 1:3301 N COUNTRY CLUB DR APT 307
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1613
Mailing Address - Country:US
Mailing Address - Phone:787-565-2596
Mailing Address - Fax:
Practice Address - Street 1:7144 BYRON AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3027
Practice Address - Country:US
Practice Address - Phone:787-565-2596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst