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Mario Cruz

  • Male

Medical Specialty

Professional ID

  • NPI: 1962926956
  • PECOS ID: 6103182860
  • Enrollment ID: I20171113002243
  • Credential(MD, DO, DPM):
  • Medical School: Southern California College Of Optometry
  • Medical School Graduation Year: 2017

Hospital Service

  • Hospital CCN1: 021309
  • Business Name (LBN)1: Kanakanak Hospital

Medical Practices

  • Organization Name: Bristol Bay Area Health Corporation
  • Group Practice ID assigned by PECOS: 5890699920
  • Number of Group Practice member: 68

Location

  • Address1: Main St
  • Address2: Naknek Clinic
  • City: Naknek
  • State: Alaska
  • Zip Code: 99633
  • Phone Number: (907)842-52016217

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):