Healthcare Provider Details

I. General information

NPI: 1265305379
Provider Name (Legal Business Name): GUERLIN CRUZ SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 NW 10TH TER
CAPE CORAL FL
33993-7210
US

IV. Provider business mailing address

1306 NW 10TH TER
CAPE CORAL FL
33993-7210
US

V. Phone/Fax

Practice location:
  • Phone: 786-564-7119
  • Fax:
Mailing address:
  • Phone: 786-564-7119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: