Darius Anthony Cruz
Individual provider Active NPI Case Manager/Care Coordinator · Peoria, AZ
NPI 1306561386 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1306561386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820 - Phone
- (475) 434-2492
- NPI assigned
- Oct 11, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820
Mailing address
15525 N 83Rd Ave Ste 104
Peoria, AZ 85382-5820
Phone (475) 434-2492
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.