Organization Active NPI

Centro de Salud-Cruz

  • Primary Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1770060980
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CENTRO DE SALUD-CRUZ
Practice address
1002 E South Temple Ste 508
Salt Lake City, UT 84102-1568
Phone
(801) 908-0970
Fax
(801) 531-0930
NPI assigned
Jul 20, 2018
Last updated
Jun 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Authorized official

Name
Maria G Cruz, DNP, FNP, CNMNPI 1538598065
Title
Owner/Provider
Phone
(801) 560-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1002 E South Temple Ste 508
Salt Lake City, UT 84102-1568

Mailing address

1002 E South Temple Ste 508
Salt Lake City, UT 84102-1568
Phone (801) 560-0930

National Provider Directory

National Provider Directory

Locations

34 S 500 E
Ste 207
Salt Lake City, UT 84102
Phone (801) 560-0930

1002 E South Temple
Ste 508
Slc, UT 84102
Phone (801) 531-8634

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18603/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1770060980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021568",
            "telephone_number": "801-560-0930",
            "fax_number": "801-531-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021568",
            "telephone_number": "801-908-0970",
            "fax_number": "801-531-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD-CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-06-16",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-560-0930",
        "authorized_official_credential": "DNP, FNP, CNM"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.