Cruz, Cecilia

Cruz, Cecilia is an sole proprietor health care provider with primary practice located at 6942 S 12Th Ave , Tucson AZ 85756-6502. She recently has 10 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Other Service Providers / Community Health Worker, Managed Care Organizations / Exclusive Provider Organization, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Other Service Providers / Peer Specialist, Nursing Service Related Providers / Day Training/Habilitation Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Cruz, Cecilia can be contacted via phone (520) 256-8971.

Contact Information

Primary practice address
6942 S 12Th Ave Tucson AZ 85756-6502
Phone: (520) 256-8971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Other Service Providers / Community Health Worker 172V00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X
Other Service Providers / Peer Specialist 175T00000X Arizona
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Arizona

Profile Details

NPI number 1497482863
LBN Legal business name Cruz, Cecilia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2022
Last updated Mar 24th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497482863 NPPES
Arizona Other 156308 AHCCCS ID
Arizona Other 156308 AHCCCS ID

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