Cruz, Rafael

Cruz, Rafael is an individual health care provider with primary practice located at 1700 Dividend Dr , Logansport IN 46947-1572. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cruz, Rafael can be contacted via phone (574) 722-7407.

Contact Information

Primary practice address
1700 Dividend Dr Logansport IN 46947-1572
Phone: (574) 722-7407
Fax: (574) 735-0429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01046661A Indiana

Profile Details

NPI number 1851310239
LBN Legal business name Cruz, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851310239 NPPES
Pennsylvania MEDICAID 1025449080001
Pennsylvania Other MD-073155-L
Pennsylvania Other 10380
Pennsylvania Other 221853-1
Pennsylvania MEDICAID 003102887
Pennsylvania Other CS11551

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