Aixa Destinee Cruz
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Washington, DC
NPI 1982336079 · NPPES record last updated Jun 27, 2022
Key facts
- NPI
- 1982336079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4400 Jenifer St NW Ste 280
Washington, DC 20015-2113 - Phone
- (301) 367-4827
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4400 Jenifer St NW Ste 280
Washington, DC 20015-2113
Mailing address
5 McCormick CT
Stafford, VA 22556-6460
Phone (860) 402-0199
Other providers in Washington, DC
- Edwin Cruz-Canales
- Isora Cruz-Cardona
- Christine Laura Cruz-Groth
- Patricia Cruz-Romero
- Claudia Cruz-Sorto
- Anamigdy Cruz
- Brenda L Cruz
- Cara Cruz
- Cora A Cruz
- Debra Ann Cruz
All providers in Washington, DC · Student in an Organized Health Care Education/Training Program in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 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.