Individual
RICARDO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
888 S RANCHO DR, LAS VEGAS, NV 89106-3810
(702) 877-8600
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3270
(702) 242-1535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO2056
NV
207Q00000X
Family Medicine Physician
Primary
SL1001
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V52025
SMA MEDICARE
NV
Enumeration date
04/29/2014
Last updated
07/21/2022
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