MAVI CRUZ (NPI# 1912524315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912524315 |
| Entity Type | Individual |
| Full Name | MAVI CRUZ |
| Credential | DMD |
| Practice Address |
1405 S 25th St Fort Pierce FL 34947-4700 |
| Mailing Address |
954 Nw Leonardo Cir Port St Lucie FL 34986-4350 |
| Practice Telephone | 7724654545 |
| Mailing Telephone | 7865460663 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN25092 | FL | Dental Providers |
| Street Address |
1405 S 25TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34947-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194808360 | Robert D. Gehrig | Dentist | 1405 S 25th St, Suite B, Fort Pierce, FL 34947-4700 | 2006-10-23 |
| 1144763053 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1405 S 25th St, Ste B, Fort Pierce, FL 34947-4700 | 2016-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| 1811391345 | Shaikh International Medicine, LLC | Internal Medicine | 2504 Acorn St, Suite A, Ft Pierce, FL 34947 | 2014-10-13 |
| 1851728083 | Home Sweet Home of The Treasurwe Coast, Inc. | Assisted Living Facility | 3201 Avenue Q, Fort Pierce, FL 34947 | 2013-10-02 |
| 1831488469 | Gayle Freeman Jones | In Home Supportive Care | 3414 Sloan Rd, Fort Pierce, FL 34947 | 2011-04-05 |
| 1134370927 | Chelsea Lauren Pepera | Licensed Practical Nurse | 1816 South 31st Street, Fort Pierce, FL 34947 | 2008-10-10 |
| 1790971364 | Orion Cardiovascular, IIi | Clinic/Center | 1803 S 25th Street, Ste 1, Ft. Pierce, FL 34947 | 2007-09-18 |
| 1659441236 | Diagnostic Radiology Center of The Treasure Coast | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1689786774 | Ajay Kumar Goyal | Radiology | 2011 S 25th St, Suite 106, Fort Pierce, FL 34947 | 2006-08-31 |
| 1649340258 | Ajay K Goyal Md Pa | Radiology | 2011 South 25th St, Suite 106, Ft Pierce, FL 34947 | 2006-11-09 |
| Find all providers in zip 34947 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912564162 | Professional Dental Alliance of Ft. Pierce, Pllc | Dentist | 4832 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2019-05-23 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1073832176 | Itd Associates, P.a. | Dentist | 4832 N. Kings Highway, Fort Pierce, FL 34951 | 2010-05-28 |
| 1013176569 | John William Humphries | Dentist | 2505 S Federal Hwy # 1, Fort Pierce, FL 34982-5922 | 2008-06-09 |
| 1538355359 | Gina Denise Dean-bey | Dentist | 1900 Nebraska Ave Ste 6, Fort Pierce, FL 34950-4837 | 2007-09-16 |
| 1659580868 | William G Angelos | Dentist | 4846 N Kings Hwy, Fort Pierce, FL 34951-2243 | 2007-05-22 |
| 1194808360 | Robert D. Gehrig | Dentist | 1405 S 25th St, Suite B, Fort Pierce, FL 34947-4700 | 2006-10-23 |
| 1588766513 | Norman David Knowles | Dentist | 1511 S 25th St Ste B, Fort Pierce, FL 34947-4779 | 2006-09-01 |
| 1801908496 | Russell Minor Davis | Dentist | 2204 Sunrise Blvd, Fort Pierce, FL 34950-5367 | 2006-08-31 |
| 1902836851 | James Lowell Strawn | Dentist | 5054 S 25th St, Fort Pierce, FL 34981-4923 | 2006-07-04 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34947 |
Please comment or provide details below to improve the information on MAVI CRUZ.
| 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.