MEDICARE: RAFFINEE DELACRUZ BSN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	95153911	CA

General Provider Information

NPI Number	:	1215883970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFFINEE DELACRUZ BSN RN

Provider Business Mailing Address
First Line	:	3277 S WHITE RD STE 71
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95148-4056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2745 TRANQUILITY ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-2177
Country	:	US
Telephone Number	:	408-677-7786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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