| Gisele Portes Cruz, | |
|
18 River View Pl, North Weymouth, MA 02191-2218 | |
| (617) 462-0617 | |
| Not Available |
| Full Name | Gisele Portes Cruz |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 18 River View Pl, North Weymouth, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669824389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 282053 (Massachusetts) | Secondary |
| 207U00000X | Nuclear Medicine | 35843 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps Memorial Health Center | Holdrege, NE | Hospital |
| York General Hospital | York, NE | Hospital |
| Community Medical Center, Inc. | Falls city, NE | Hospital |
| Fillmore County Hospital | Geneva, NE | Hospital |
| Syracuse Area Health | Syracuse, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Medical Imaging Llc | 0840265773 | 36 |
| Radiology Associates Pc | 5698735181 | 33 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20101120000012 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821349317 PECOS PAC ID: 2860688728 Enrollment ID: O20130626000396 |
| Entity Name | Advanced Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437116936 PECOS PAC ID: 0840265773 Enrollment ID: O20231108000154 |
| Entity Name | Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548227036 PECOS PAC ID: 5698735181 Enrollment ID: O20231129003197 |
| Mailing Address | Practice Location Address |
|---|---|
| Gisele Portes Cruz, 18 River View Pl, North Weymouth, MA 02191-2218 Ph: (174) 620-6176 | Gisele Portes Cruz, 18 River View Pl, North Weymouth, MA 02191-2218 Ph: (617) 462-0617 |