Edgar Cruz MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K4033 Issued in TX

Legal business name

EDGAR CRUZ MD PA

Practice address

1801 S 5TH St
Suite 120
McAllen, TX 78503-2927

Phone

(956) 687-7151

Fax

(956) 213-8176

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Edgar V Cruz Gonzalez, MD

Title

President

Phone

(956) 687-7151

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1437377611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST",
            "address_2": "SUITE 120",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032927",
            "telephone_number": "956-687-7151",
            "fax_number": "956-213-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 5TH ST",
            "address_2": "SUITE 120",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785032927",
            "telephone_number": "956-687-7151",
            "fax_number": "956-213-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR CRUZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ GONZALEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-687-7151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE2116",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0052QP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175076201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.