Mary Rose Diana Kuan De La Cruz, APRN
NPI 1619851953ActiveIndividual· Family Medicine, Geriatric Medicine· Las Vegas, NV
Family Medicine, Geriatric Medicine (APRN) with Robert Marriott Medical Corp, practicing in Las Vegas, Nevada. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1619851953 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Jul 31, 2025 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Geriatric Medicine Primary | 207QG0300X | 891144 | NV |
| Nurse Practitioner, Primary Care | 363LP2300X | 891144 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Robert Marriott Medical CorpIrvine, CA · 64 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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