Marite Rivera Cruz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38512 Issued in CA

Practice address

128 Brentwood Dr
South San Francisco, CA 94080-5717

Phone

(650) 871-6303

Fax

(650) 871-4103

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marite Regina Rivera Cruz-Tan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407903040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BRENTWOOD DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805717",
            "telephone_number": "650-871-6303",
            "fax_number": "650-871-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BRENTWOOD DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805717",
            "telephone_number": "650-871-6303",
            "fax_number": "650-871-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARITE",
        "middle_name": "RIVERA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARITE REGINA",
            "last_name": "CRUZ-TAN",
            "middle_name": "RIVERA",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachael Elise Coy, OTR/L
• Debora M Creighton-Vaz, RRT
• Crossover Health Medical Group
• Jeffrey Crowder, MD
• Katrina Surban Cruz, NP
• Michael John Cuneo, D.C.
• Cypress Avenue Sage Femmes Inc/ Cypress Avenue Sage Femmes Birth Home
• Susanne Czaikowski
• Ma Cathrina Fatima P Dador
• Salumeh Nicole Dadres, M.D., MPH

• General Practice Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.