Individual provider Active NPI

Lourdes L. Cruz-Fagel, M.D.

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1669660148
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0007337 Issued in DE
Practice address
1400 Peoples PLZ
Suite 301
Newark, DE 19702-5707
Phone
(302) 832-1560
Fax
(302) 832-7450
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C1-0007337 DE Primary

Addresses

Primary practice location

1400 Peoples PLZ
Suite 301
Newark, DE 19702-5707

Mailing address

1400 Peoples PLZ
Suite 301
Newark, DE 19702-5707
Phone (302) 832-1560

Other names 1

  • Lourdes C. Fagel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0007337DEMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1669660148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 301",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-832-1560",
            "fax_number": "302-832-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 301",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-832-1560",
            "fax_number": "302-832-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-FAGEL",
        "first_name": "LOURDES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOURDES",
            "last_name": "FAGEL",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.