Healthcare Provider Details

I. General information

NPI: 1265366017
Provider Name (Legal Business Name): HILLARY ANN ALVERIO CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 GERBERA DAISY AVE
HAINES CITY FL
33844-9789
US

IV. Provider business mailing address

4150 GERBERA DAISY AVE
HAINES CITY FL
33844-9789
US

V. Phone/Fax

Practice location:
  • Phone: 939-293-7107
  • Fax:
Mailing address:
  • Phone: 939-293-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH28616
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: