Alberto Rodriguez Cruz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48006 Issued in CA

Practice address

79440 Corporate Center Dr
Suite 103
La Quinta, CA 92253-7241

Phone

(760) 564-7716

Fax

(760) 564-8625

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1992837652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-7716",
            "fax_number": "760-564-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 CORPORATE CENTER DR",
            "address_2": "SUITE 103",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537241",
            "telephone_number": "760-564-7716",
            "fax_number": "760-564-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ CRUZ",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B 48006-01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B48006-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vianey Rivera, CMT
• George M Rizkalla
• Steven Edward Roberts, M.D.
• Brittany Nicole Robinson, MSN, APRN, WHNP-BC
• Kattie Ilene Rocha
• Abel Rodriguez, DC
• Arlette Rodriguez
• Madeline Rose Rodriguez, DNP
• Odet Rodriguez, RDH
• Sabrina N Rodriguez

• General Practice Dentistry in La Quinta, CA
• Providers in La Quinta, 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 Mar 3, 2016; 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.