Cleofe Secular Cruz, R.N.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

635507 Issued in NY

Practice address

1663 E 17TH St
Brooklyn, NY 11229-1259

Phone

(718) 998-0200

NPI assigned

Jan 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1124399613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9705 HORACE HARDING EXPY",
            "address_2": "14-O",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684157",
            "telephone_number": "347-420-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291259",
            "telephone_number": "718-998-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CLEOFE",
        "middle_name": "SECULAR",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "635507",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "635507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "740802257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela V. Cruz
• Ashley Cruz
• Carlos R Cruz, LMSW
• Chiara Cruz
• Christina Cruz
• Cristina Filomena Cruz, CCC-SLP
• Dariel Cruz, COTA/L
• Darlene Cruz
• Debbie Ivette Cruz, LPN
• Dionisio Cruz, LCSW

• Local Education Agency (LEA) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.