Individual provider Active NPI

Denise Cruz

  • Durable Medical Equipment & Medical Supplies
  • Mission, TX
National Provider Identifier
1104526896
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
702 E Griffin Pkwy Ste 3C
Mission, TX 78572-2931
Phone
(956) 600-8774
Fax
(956) 600-7934
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

702 E Griffin Pkwy Ste 3C
Mission, TX 78572-2931

Mailing address

702 E Griffin Pkwy Ste 3C
Mission, TX 78572-2931
Phone (956) 600-8774

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Con Fe Health Care, LLC Current Accepting new patients
Cruz Medical Supply, LLC Durable Medical Equipment & Medical Supplies CurrentSince Mar 19, 2023 Accepting new patients

Locations

702 E Griffin Pkwy
Ste 3C
Mission, TX 78572
Phone (956) 600-8774

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1104526896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E GRIFFIN PKWY STE 3C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722931",
            "telephone_number": "956-600-8774",
            "fax_number": "956-600-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E GRIFFIN PKWY STE 3C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722931",
            "telephone_number": "956-600-8774",
            "fax_number": "956-600-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.