Individual ProviderAngel CruzStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(435) 704-1264PECOS EnrollmentBased on the most recent information from CMS, provider Angel Cruz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1770385221Provider TypeIndividualFull NameCruz, AngelCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/26/2025Last Updated4/2/2025Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address478 S Stewart Creek Dr, Washington, UT 84780-3674Phone(435) 704-1264FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer