Edwin Cruz MD & Co. Inc.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101221356 Issued in VA

Legal business name

EDWIN CRUZ MD & CO. INC.

Practice address

1712 Stone Church Mews
Virginia Beach, VA 23455-4374

Phone

(757) 460-7447

NPI assigned

Oct 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edwin Cruz, MD

Title

Physician/President

Phone

(757) 460-7447

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1164757498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STONE CHURCH MEWS",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554374",
            "telephone_number": "757-460-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 STONE CHURCH MEWS",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234554374",
            "telephone_number": "757-460-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN CRUZ MD & CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "757-460-7447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101221356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0101221356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5828571",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kobie Nia Edwards
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• Sharon Edwards, ARNP,CS
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• Pulmonary Disease Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.