Perfecto B Cronemeyer, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

License

1710I1002X Issued in AZ

Practice address

4859 W 29TH LN
Yuma, AZ 85364-9769

Phone

(928) 269-3935

Fax

(928) 269-3994

NPI assigned

Jan 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1467637314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99210",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853699210",
            "telephone_number": "928-269-3935",
            "fax_number": "928-269-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 W 29TH LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649769",
            "telephone_number": "928-269-3935",
            "fax_number": "928-269-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONEMEYER",
        "first_name": "PERFECTO",
        "middle_name": "B",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "AZ",
            "license": "1710I1002X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Esmeralda Crespo Salinas
• Cristinas Closet
• Critical Care Associates of Yuma, LLC
• Melinda Crittenden, M.A.., CCC-A
• William Franklin Crittenden
• Crossroads Mission
• Crossroads Mission First Step Center
• Sarah Killeen Crowell, M.P.T.
• Crowley Medical
• John Crowley, DO

• Independent Duty Corpsman in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Independent Duty Corpsman in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.