Fanny Aguirre Dela Cruz, M.D.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

FDO36977 Issued in MI

Practice address

17880 Farmington Rd
Unit B
Livonia, MI 48152-3104

Phone

(734) 744-8560

Fax

(734) 744-8563

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Bloomfield Aesthetic Surgery Center LLC

  • Plastic Surgery Physician
  • Farmington Hills, MI
  • NPI 1023345345
  NPD (past) Authorized official
• At Home Physicians Managing Co

  • Specialist
  • Warren, MI
  • NPI 1578894606
  NPD (past)
• Embrace Home Physicians PLLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1548704778
  NPD (past)
• Medical Doctors of Michigan, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • West Bloomfield, MI
  • NPI 1740447481
  NPD (past)
• Mme Enterprises Inc

  • Specialist
  • Warren, MI
  • NPI 1720369051
  NPD (past)
• Vitality Group Inc

  • Home Health Agency
  • Southfield, MI
  • NPI 1316194210
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1689742397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17880 B, FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8560",
            "fax_number": "734-744-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17880 FARMINGTON RD",
            "address_2": "UNIT B",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523104",
            "telephone_number": "734-744-8560",
            "fax_number": "734-744-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "FANNY",
        "middle_name": "AGUIRRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301036977",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "FDO36977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1788503",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deering Street Community Living & Respite Center LLC
• Michael Eric Degryse, D.O.
• Mohammad Mahdi Dehbozorgi, M.D.
• Jeffrey P Dehn, MPT
• Kevin G. Deighton, MD
• Daniel R Delcastillo, CCP
• Neil Deledda, O.D.
• Sylvia Rosario Delgado, MS
• Emily Delger
• Delite Chiropractic PC

• Surgery of the Hand (Plastic Surgery) Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.