Kalvin Jovanny Cruz | Amityville, NY • PECOS Search

Kalvin Jovanny Cruz

Licensed Practical Nurse

Nursing Service Providers

39 Birch Rd, Amityville, NY 11701-1001

PECOS Enrollment

Based on the most recent information from CMS, provider Kalvin Jovanny Cruz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1275414617
Provider Type
Individual
Full Name
Cruz, Kalvin Jovanny
Credential
LPN

Gender
Male
Sole Proprietor
No
Enumeration Date
9/11/2025
Last Updated
10/24/2025

Contact Information

Practice Location

39 Birch Rd, Amityville, NY 11701-1001

Unlisted Fax

Mailing Location

39 Birch Rd, Amityville, NY 11701-1001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 352333-01 New York