Rhodora Roque Cruz, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Tamuning, GU
NPI 1770051153 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1770051153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP0194 (GU)
- Practice address
- 1244 N Marine Corps Dr
Tamuning, GU 96913-4308 - Phone
- (671) 647-8262
- Fax
- (671) 647-5252
- NPI assigned
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Medical Center, LLC
Practice addresses (Care Compare)
1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190523002161 | GU | Practitioner - Nurse Practitioner | 7911240452 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RX0440 | GU | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Center, LLC | Current |
Accepting new patients |
Locations
1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RX0440 | GU | |
| Family Nurse Practitioner | 363LF0000X | NP0194 | GU | Yes |
Addresses
Primary practice location
1244 N Marine Corps Dr
Tamuning, GU 96913-4308
Mailing address
1244 N Marine Corps Dr
Tamuning, GU 96913-4308
Phone (671) 777-0632
Other practice location 1
850 Governor Carlos Camacho Road
Tamuning, GU 96911
Phone (671) 777-0632
Other practice location 2
850 Governor Carlos Camacho Road
Tamuning, GU 96911
Phone (671) 777-0632
Other names
- Ms. Rhodora Roque Cruz
Other providers in Tamuning, GU
- Stephanie Renee Copp
- Paul C. Coty
- Hope A. Cristobal
- Cruz Pharmacy
- Michael W Cruz
- Tony Salas Cruz Jr.
- Glenn Donald Cunningham
- Kendrick Justin Ramirez Dalmacio
- Jenine Lynn Aguon Cabrera Damian
- Arlene Datu
All providers in Tamuning, GU · Family Nurse Practitioner in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.