Angelito Vera Cruz II, M.S. ED., ATC, VATL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000386 Issued in VA

Practice address

2189 Elrod Ave
Quantico, VA 22134-5113

Phone

(703) 432-6216

NPI assigned

Feb 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1255671251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2189 ELROD AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345113",
            "telephone_number": "703-432-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 ELROD AVE",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221345113",
            "telephone_number": "703-432-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA CRUZ",
        "first_name": "ANGELITO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.S. ED., ATC, VATL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quyen K Tran
• Tuan Tran, DMD
• Joscelyn Trompeter, MS, LAT, ATC
• Lynn Ann Vanairsdale, DO, L.AC.
• Anna Vanalstyne, DPT
• Francisco Xavier Veray IV, D.D.S, M.S
• Ashley Voss, D.O.
• Tionell Waddler, LPC
• Hollie J Wakelyn, PHARMD
• Walter Reed National Military Med Center (Quantico Main Phcy)

• Athletic Trainer in Quantico, VA
• Providers in Quantico, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.