Individual provider Active NPI

Edel H Cruz Rosales, BC-HIS

  • Hearing Instrument Specialist
  • Irving, TX
National Provider Identifier
1033457080
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
80571 Issued in TX
Practice address
613 North O'Connor Rd
Suite 29
Irving, TX 75061
Phone
(214) 865-9310
Fax
(877) 349-7011
NPI assigned
Jan 26, 2013
Last updated
May 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80571 TX Primary

Addresses

Primary practice location

613 North O'Connor Rd
Suite 29
Irving, TX 75061

Mailing address

613 North O'Connor Rd
Suite 29
Irving, TX 75061
Phone (214) 865-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80571TXMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1033457080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 NORTH O'CONNOR RD",
            "address_2": "SUITE 29",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "214-865-9310",
            "fax_number": "877-349-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 NORTH O'CONNOR RD",
            "address_2": "SUITE 29",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "214-865-9310",
            "fax_number": "877-349-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ROSALES",
        "first_name": "EDEL",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-26",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.