IndividualActive
Mary Rose Diana De La Cruz, APRN
NPI 1619851953 · Geriatric Medicine (Family Medicine) Physician · Las Vegas, NV
Provider details
- NPI number
- 1619851953
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 891144 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8905 W Post Rd Ste 110
Las Vegas, NV 89148-2429
Phone: (702) 927-6866
Approximate (ZIP-level) locationGet directions
Mailing address
432 Eastgate Ln
Martinez, CA 94553-4191
Additional practice locations (1)
- 222 N Pacific Coast Hwy Ste 1420El Segundo, CA 90245-5648Phone: (877) 878-3289Fax: (877) 817-3227
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.