Mary Rose Diana Kuan De La Cruz, APRN is a
Family Medicine - Geriatric Medicine based in Las Vegas, Nevada. Mary Rose Diana Kuan De La Cruz is licensed to practice in Nevada (license number 891144) and her current practice location is
8905 W Post Rd Ste 110, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 927-6866.
NPI number for Mary Rose Diana Kuan De La Cruz is 1619851953 and her current mailing address is 432 Eastgate Ln, Martinez, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619851953.
Provider's Profile
Full Name | Mary Rose Diana Kuan De La Cruz |
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Gender | Female |
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Speciality | Family Medicine - Geriatric Medicine |
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Location | 8905 W Post Rd Ste 110, Las Vegas, Nevada |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619851953
- Provider Enumeration Date: 07/31/2025
- Last Update Date: 07/31/2025
Medical Identifiers
Medical identifiers for Mary Rose Diana Kuan De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619851953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 891144 (Nevada) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | 891144 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Rose Diana Kuan De La Cruz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Rose Diana Kuan De La Cruz, APRN 432 Eastgate Ln, Martinez, CA 94553-4191 Ph: (702) 927-6866 | Mary Rose Diana Kuan De La Cruz, APRN 8905 W Post Rd Ste 110, Las Vegas, NV 89148-2429 Ph: (702) 927-6866 |
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