Individual
AUDREY SUE LEGASPI CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9550 S EASTERN AVE STE 253, LAS VEGAS, NV 89123-8042
(888) 803-3370
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20673
NV
207R00000X
Internal Medicine Physician
A145334
CA
207R00000X
Internal Medicine Physician
ME162845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427435015
—
NV
01
—
20673
STATE LICENSE
NV
Enumeration date
05/03/2015
Last updated
01/28/2026
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