Provider Demographics
NPI:1447088331
Name:CRUZ, ROGERIO (REGISTERED NURSE)
Entity type:Individual
Prefix:MR
First Name:ROGERIO
Middle Name:
Last Name:CRUZ
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7540 US HIGHWAY 281
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-9533
Mailing Address - Country:US
Mailing Address - Phone:956-372-9767
Mailing Address - Fax:
Practice Address - Street 1:7540 US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-9533
Practice Address - Country:US
Practice Address - Phone:956-372-9767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX694535163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse