Rosita Raquidan Cruz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0030355 Issued in MD

Practice address

801 Washington Boulevard
Suite 1-a
Baltimore, MD 21230-2321

Phone

(410) 685-5555

Fax

(410) 685-0320

NPI assigned

Jan 28, 2006

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Management,Marketing,Medical,and Accounting Services LLC

  dba Cherryhill Medical Services

  • Specialist
  • Baltimore, MD
  • NPI 1841492691
  Medicare reassignment
• Grace Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1962480772
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1841261880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON BOULEVARD",
            "address_2": "SUITE 1-A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302321",
            "telephone_number": "410-685-5555",
            "fax_number": "410-685-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WASHINGTON BOULEVARD",
            "address_2": "SUITE 1-A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302321",
            "telephone_number": "410-685-5555",
            "fax_number": "410-685-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ROSITA",
        "middle_name": "RAQUIDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0030355",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0030355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420081100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Cruz
• Carolina Cruz
• Christopher Domingo Cruz, DDS, MS
• Jeanily Cruz, LMSW
• Leslie Cruz
• Tiffany Cruz, LGSW
• Mia Crystle
• Georgette Csobaji, LCSW-C
• Csu Helene Fuld Son SBHC/Comm Ctr @ St Fran Acad
• Ilton Cubero Salazar, M.D.

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.