Organization Active NPI

Luz T. Crystal M.D., P.C.

  • Internal Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1417198946
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18535 Issued in AL
Legal business name
LUZ T. CRYSTAL M.D., P.C.
Practice address
2202 Jordan Rd SW
Fort Payne, AL 35968-3688
Phone
(256) 844-2825
Fax
(256) 845-1804
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Luz Torralba Crystal, M.D.
Title
President
Phone
(256) 844-2825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18535 AL Primary

Addresses

Primary practice location

2202 Jordan Rd SW
Fort Payne, AL 35968-3688

Mailing address

2202 Jordan Rd SW
Fort Payne, AL 35968-3688
Phone (256) 844-2825

National Provider Directory

National Provider Directory

Locations

2202 Jordan Rd SW
Fort Payne, AL 35968
Phone (256) 844-2825

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1417198946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JORDAN RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-845-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JORDAN RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-845-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ T. CRYSTAL M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "CRYSTAL",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "TORRALBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-844-2825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.