Renato F Delacruz MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35060832 Issued in OH

Legal business name

RENATO F DELACRUZ MD

Practice address

92 N 4TH St
Suite 22
Martins Ferry, OH 43935-1691

Phone

(740) 633-6332

Fax

(740) 633-4446

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Renato F Delacruz, M.D.NPI 1174523641

Title

Owner

Phone

(740) 633-6332

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renato F Delacruz, MD

  • Internal Medicine Physician
  • Saint Clairsville, OH
  • NPI 1174523641
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1821298282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 N 4TH ST",
            "address_2": "SUITE 22",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351691",
            "telephone_number": "740-633-6332",
            "fax_number": "740-633-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N 4TH ST",
            "address_2": "SUITE 22",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351691",
            "telephone_number": "740-633-6332",
            "fax_number": "740-633-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATO F DELACRUZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-633-6332",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012031",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822533",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Martins Ferry, OH
• Providers in Martins Ferry, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.