RODERICK BRIAN DELA CRUZ (NPI# 1033730346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033730346 |
| Entity Type | Individual |
| Full Name | RODERICK BRIAN DELA CRUZ |
| Practice Address |
9428 69th St Kenosha WI 53142-8111 |
| Practice Telephone | 2623443892 |
| Mailing Telephone | 2623443892 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
239454 | WI | Nursing Service Providers |
| Street Address |
9428 69TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564103 | Abigail Stroud | Registered Nurse | 1990 104th St, New Richmond, WI 54017-6038 | 2020-10-06 |
| 1770096539 | Daniel Steve Huber | Registered Nurse | 6643 County Highway Bc, Sparta, WI 54656-3593 | 2017-11-14 |
| 1508389768 | Henrietta C. Nwankwo | Registered Nurse | 5425 Katie Ln, Madison, WI 53704-8951 | 2017-07-19 |
| 1295141943 | Brittany K Romans | Registered Nurse | 1230 Commonwealth Dr, 1, Fort Atkinson, WI 53538 | 2014-07-02 |
| 1780007013 | Roberta Fosbinder-bittorf | Registered Nurse | 101 Femrite Dr Apt 227, Monona, WI 53716-3745 | 2014-01-22 |
| 1811320666 | Angela M Isotalo | Registered Nurse | 6312 Schoolway, Greendale, WI 53129-1822 | 2013-08-15 |
| 1447503610 | Anissa Chenon Laganiere | Registered Nurse | 28883 Rustic Village Ln, Richland Center, WI 53581-6711 | 2012-10-24 |
| 1972862472 | Erin Marie Schwarm | Registered Nurse | 5592 S Jennie Webber Lake Rd, Rhinelander, WI 54501-9629 | 2012-05-04 |
| 1912212598 | Melanie Goeckerman | Registered Nurse | 435 N Country Ln, Fond Du Lac, WI 54935-9728 | 2010-08-08 |
| 1568794634 | Rebecca Lynn Straub | Registered Nurse | 1468 Liberty St, Green Bay, WI 54304-3118 | 2010-02-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.