KORALYS DE LA CRUZ
NPI 1073478186
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since December 20, 2025

579 COURTLANDT AVE, BRONX, NY 10451(718) 485-2100 Get Directions Write a Review

NPPES record last updated: December 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Koralys De La Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KORALYS DE LA CRUZ (NPI 1073478186) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1073478186

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKORALYS DE LA CRUZ

Location Address579 COURTLANDT AVEBronx, NY 10451-5013

Mailing Address1689 Randall Ave Apt 2fBronx, NY 10473-4237 · (718) 864-6547

Phone(718) 485-2100

Sole ProprietorYes

Enumeration DateDecember 20, 2025

NPPES CertifiedDecember 20, 2025

✔ NPI 1073478186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

579 COURTLANDT AVE, Bronx, NY 10451

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