Rafael M. de la Cruz MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D3726 Issued in TX

Legal business name

RAFAEL M. DE LA CRUZ MD

Practice address

44 W Jefferson St
Brownsville, TX 78520-6258

Phone

(956) 544-2420

Fax

(956) 544-2879

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Marcos De la Cruz, MD

Title

Owner

Phone

(956) 544-2420

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RAFAEL M. DE LA CRUZ PEDIATRIC CLINIC Doing business as

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407808199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206258",
            "telephone_number": "956-544-2420",
            "fax_number": "956-544-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206258",
            "telephone_number": "956-544-2420",
            "fax_number": "956-544-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL M. DE LA CRUZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "MARCOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-544-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "50016213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D3726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAFAEL M. DE LA CRUZ PEDIATRIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.