Paola De la Cruz
Individual provider Active NPI Rehabilitation Practitioner · Las Vegas, NV
NPI 1972017341 · NPPES record last updated Nov 21, 2017
Key facts
- NPI
- 1972017341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 4285 N Rancho Dr
Las Vegas, NV 89130-3446 - Phone
- (702) 385-5331
- NPI assigned
- Nov 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Alternatives for Families and Youth of Nevada, Inc. | Rehabilitation Practitioner | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
4285 N Rancho Dr
Las Vegas, NV 89130-3446
Mailing address
4285 N Rancho Dr
Las Vegas, NV 89130-3446
Phone (702) 385-5331
Other providers in Las Vegas, NV
- Evelyn De la Cruz
- Fe Rosalinda De la Cruz
- Lee Neil De la Cruz
- Mary Rose Diana Kuan De la Cruz
- Micaela De la Cruz
- Paula De la Cruz
- Rowena Marie De la Cruz
- Martha De la Fuente Ochoa
- Ashley Colleen De la Garza
- Kalen De la Garza
All providers in Las Vegas, NV · Rehabilitation Practitioner in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2017. 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.