Rodriguez Cruz, Alberto
Rodriguez Cruz, Alberto is an sole proprietor health care provider with primary practice located at 79440 Corporate Center Dr Suite 103, La Quinta CA 92253-7241. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rodriguez Cruz, Alberto can be contacted via phone (760) 564-7716.Contact Information
Primary practice address
79440 Corporate Center Dr Suite 103
La Quinta CA 92253-7241
Phone: (760) 564-7716
Fax: (760) 564-8625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48006 | California |
Profile Details
| NPI number | 1992837652 |
|---|---|
| LBN Legal business name | Rodriguez Cruz, Alberto |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Mar 3rd, 2016 - about 9 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992837652 | NPPES |
| California | MEDICAID | B 48006-01 | |
| California | MEDICAID | B48006-02 |
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