EDWIN CRUZ (NPI# 1053748509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053748509 |
Entity Type | Individual |
Full Name | EDWIN CRUZ |
Practice Address |
64 Rosella Ave Pawtucket RI 02861-4234 |
Practice Telephone | 7604988331 |
Mailing Telephone | 7604988331 |
Enumeration Date | 2013-09-30 |
Last Update Date | 2013-09-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
1114017506 | Edwin P. Cruz | Dentist | 2406 W Edinger Ave, Ste. A, Santa Ana, CA 92704-3544 | 2006-10-13 |
1881694750 | Edwin Cruz | Specialist | 1712 Stone Church Mews, Virginia Beach, VA 23455-4374 | 2005-07-21 |
1932587698 | Edwin Cruz | Behavioral Analyst | 3731 Sixth Avenue Suite 100, San Diego, CA 92103 | 2015-05-14 |
1932410925 | Edwin Alexander Cruz | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2010-06-24 |
Street Address |
64 ROSELLA AVE |
City | PAWTUCKET |
State | RI |
Zip Code | 02861-4234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
Find all providers in zip 02861 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083023212 | Cody Daniel Jones | Military Health Care Provider | 112 Elder Ave, Riverside, RI 02915-3756 | 2014-08-13 |
1619106465 | Donald James Mcallister | Military Health Care Provider | 2 Resolute Rd, Newport, RI 02840-1015 | 2009-07-14 |
1578701751 | Rodney Lybarger | Military Health Care Provider | 7b Jencks Rd, Foster, RI 02825-5191 | 2009-01-27 |
1790941458 | Michael 'r' Shoulberg | Military Health Care Provider | 37 Potter Ave, West Warwick, RI 02893-4610 | 2008-08-01 |
1255308359 | William Barry Wood | Military Health Care Provider | 686 Cushing Rd, Newport, RI 02841-1213 | 2006-03-07 |
1407282494 | Albert Cuaresma | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-23 |
1871928853 | Edwin Gilberto Dominguez | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2013-09-09 |
1730447855 | Latese Smith | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2012-04-26 |
1366769721 | Jeremiah Daniel Mcarthur | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1002 | 2010-04-26 |
1821275371 | Philip L Freytag | Military Health Care Provider | 43 Smith Road, Nhcne Newport, Newport, RI 02841-1002 | 2008-01-28 |
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.