Gustavo Cruz, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

15042 Issued in TX

Practice address

341 Hollywood Dr
Edinburg, TX 78539-6117

Phone

(956) 802-1170

Fax

(956) 318-0137

NPI assigned

Oct 7, 2009

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Advancing Together

  • Case Management Agency
  • Edinburg, TX
  • NPI 1295051191
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1184959256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 LAKE FRONT DR",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785727732",
            "telephone_number": "956-279-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 HOLLYWOOD DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396117",
            "telephone_number": "956-802-1170",
            "fax_number": "956-318-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GUSTAVO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "15042",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "15042",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "15042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert O Crous III, MD
• Alisa Cassandra Cruz, BT
• Ashley Nicole Cruz
• Carlos Cruz, D.D.S.
• Elsa Maria Cruz, LVN
• Jessica Cruz
• Jose Cruz, DO
• Mallory Cruz
• Maria Elena Cruz
• Ramiro Cruz, LPC, LCDC

• Case Manager/Care Coordinator in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.