Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronaldo Cruz Mamaril, NP

Individual provider Nurse Practitioner · NPI 1013301266

Ronaldo Cruz Mamaril, NP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2014, 12 years ago. Practices with South Bay Gastroenterology Medical Group, a 12-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1225 Harding Pl Ste 5100
Charlotte, NC 28204-2826
Phone: (704) 355-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 — (704) 355-4593
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-0520
  • 101 E W T Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-1400
  • 16455 Statesville Rd, Huntersville, NC 28078-7135 — (704) 801-3011

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 347604 (NC)

Record details

NPI number1013301266
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice South Bay Gastroenterology Medical Group — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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