EDWIN CRUZ


Address: 64 Rosella Ave, Pawtucket, RI 02861-4234
Phone: 7604988331

EDWIN CRUZ (NPI# 1053748509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers EDWIN CRUZ

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

Office Location

Street Address 64 ROSELLA AVE
City PAWTUCKET
State RI
Zip Code 02861-4234

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City PAWTUCKET
Zip Code 02861

Improve Information

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Dataset Information

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.

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