Healthcare Provider Details

I. General information

NPI: 1730349077
Provider Name (Legal Business Name): MONICA CRUZ M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14515 SW 120TH ST
MIAMI FL
33186-8638
US

IV. Provider business mailing address

24062 SW 112TH CT
HOMESTEAD FL
33032-3139
US

V. Phone/Fax

Practice location:
  • Phone: 305-420-6998
  • Fax: 888-281-3543
Mailing address:
  • Phone: 305-213-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA 11038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: