Healthcare Provider Details

I. General information

NPI: 1700798220
Provider Name (Legal Business Name): CRUZ FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 BOULEVARD OF CHAMPIONS STE 4
NORTH LAUDERDALE FL
33068-3902
US

IV. Provider business mailing address

10831 NW 80TH LN
DORAL FL
33178-6046
US

V. Phone/Fax

Practice location:
  • Phone: 305-877-8193
  • Fax:
Mailing address:
  • Phone: 305-877-8193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. NATALIA A CRUZ
Title or Position: LEAD ANALYST
Credential: BCBA
Phone: 305-877-8193