NPIMap

Organization Active NPI

Rafael Cruz MD Family Practice Limited Liability Company

  • Family Medicine Physician
  • Lehighton, PA
National Provider Identifier
1629372198
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD073155L Issued in PA
Legal business name
RAFAEL CRUZ MD FAMILY PRACTICE LIMITED LIABILITY COMPANY
Practice address
204 State Rd
Lehighton, PA 18235-2827
Phone
(702) 525-3441
Fax
(484) 534-3594
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Rafael Cruz, M.D.
Title
Doctor of Medicine
Phone
(702) 525-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD073155L PA Primary

Addresses

Primary practice location

204 State Rd
Lehighton, PA 18235-2827

Mailing address

204 State Rd
Lehighton, PA 18235-2827
Phone (702) 525-3441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1629372198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "702-525-3441",
            "fax_number": "484-534-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "702-525-3441",
            "fax_number": "484-534-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL CRUZ MD FAMILY PRACTICE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "DOCTOR OF MEDICINE",
        "authorized_official_telephone_number": "702-525-3441",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD073155L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.