MEDICARE: CATHERINE IVETTE CRUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		FL

General Provider Information

NPI Number	:	1093649774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE IVETTE CRUZ

Provider Business Mailing Address
First Line	:	1505 YALE CASTLE CT
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-2053
Country	:	US
Telephone Number	:	813-502-0397
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 YALE CASTLE CT
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-2053
Country	:	US
Telephone Number	:	813-502-0397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ CATHERINE IVETTE CRUZ ” Practice Location

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