Consuelo Cruz, is a 
Speech-language Pathologist based in Mora, New Mexico. Consuelo Cruz is licensed to practice in New Mexico (license number 122095) and her current practice location is 
Hwy 518 Ranger Rd., Mora, New Mexico. She can be reached at her office (for appointments etc.) via phone at 
(505) 387-3307.
NPI number for Consuelo Cruz is 1376676338 and her current mailing address is Po Box 94, Holman, New Mexico. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376676338.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Consuelo Cruz | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | Hwy 518 Ranger Rd., Mora, New Mexico | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1376676338
 - Provider Enumeration Date: 03/13/2007
 - Last Update Date: 07/08/2007
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Consuelo Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1376676338 | NPI | - | NPPES | 
| 1600 | Medicaid | NM |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 235Z00000X | Speech-language Pathologist  | 122095 (New Mexico) | 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. Consuelo 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 | 
		Consuelo Cruz, Po Box 94, Holman, NM 87723-0094 Ph: () - | Consuelo Cruz, Hwy 518 Ranger Rd., Mora, NM 87732 Ph: (505) 387-3307 | 
		
		 
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