Genovese Cruz
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1194200410
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1194200410
- Entity type
- Individual (NPI-1)
- Name
- Genovese Cruz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2018
- Last updated
- Oct 3, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1745 N Nellis Blvd Ste CLas Vegas, NV 89115-3673
Phone 702-280-8320
Mailing address
1745 N Nellis Blvd Ste CLas Vegas, NV 89115-3673
Phone 702-280-8320
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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