Healthcare Provider Details

I. General information

NPI: 1962329086
Provider Name (Legal Business Name): OLGA LIDIA NUNEZ CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6930 TOWN HARBOUR BLVD APT 2512
BOCA RATON FL
33433-5097
US

IV. Provider business mailing address

6930 TOWN HARBOUR BLVD APT 2512
BOCA RATON FL
33433-5097
US

V. Phone/Fax

Practice location:
  • Phone: 786-327-9239
  • Fax:
Mailing address:
  • Phone: 786-327-9239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number17767I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: