Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Cruz, Emilio | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
Description | Medicaid Provider ID: 000014295 · Medicare Provider Number: G39954 | [sources] | |||
NPI | 1669551610 | [sources] | |||
Sector | Physician | [sources] | |||
Status | not available | [sources] | |||
Address | (Federal Bureau of Prisons) | [sources] | |||
Last change | Last processed | First seen |
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States · NDHHS
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