IDANIA MARIA CRUZATA MATOS
NPI 1275214272
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since July 31, 2023
1601 E FLAMINGO RD STE 18, LAS VEGAS, NV 89119(702) 478-9971 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2025, Aug 17, 2023 (2 updates tracked since 2023).

About Idania Maria Cruzata Matos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDANIA MARIA CRUZATA MATOS (NPI 1275214272) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1275214272
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIDANIA MARIA CRUZATA MATOS
Location Address1601 E FLAMINGO RD STE 18Las Vegas, NV 89119-5244
Mailing Address4162 Sheppard DrLas Vegas, NV 89121-6852 · (725) 910-1550
Sole ProprietorYes
Enumeration DateJuly 31, 2023
Last NPPES UpdateMay 15, 20252 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
NPI 1275214272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1601 E FLAMINGO RD STE 18, Las Vegas, NV 89119

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (General Practice)
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Behavior Technician
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Nurse Practitioner (Primary Care)
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Behavior Technician
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Nurse Practitioner (Primary Care)
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Behavior Technician
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Marriage & Family Therapist
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119
Clinic/Center (Mental Health (Including Community Mental Health Center))
1601 E FLAMINGO RD STE 18
LAS VEGAS, NV 89119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idania Cruzata Matos's NPI number?

The NPI number for Idania Cruzata Matos is 1275214272. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Idania Cruzata Matos located?

Idania Cruzata Matos practices at 1601 E Flamingo Rd Ste 18, Las Vegas, NV 89119. The listed phone number is (702) 478-9971.

What is Idania Cruzata Matos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Idania Cruzata Matos was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.