Ortiz-Cruz, Desiree

Ortiz-Cruz, Desiree is an individual health care provider with primary practice located at 583 S Clarizz Blvd , Bloomington IN 47401-5515. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Ortiz-Cruz, Desiree can be contacted via phone (812) 676-4460.

Contact Information

Primary practice address
583 S Clarizz Blvd Bloomington IN 47401-5515
Phone: (812) 676-4460
Fax: (812) 355-4092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME50070 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME50070 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01088851A Indiana

Profile Details

NPI number 1447355201
LBN Legal business name Ortiz-Cruz, Desiree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 18th, 2022 - about 2 years ago

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 1447355201 NPPES
Oklahoma MEDICAID 200026780A

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