Active NPI
Rafael Cruz, M.D.
- Family Medicine Physician
- Logansport, IN
National Provider Identifier
1851310239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01046661A
- Practice address
- 1700 Dividend Dr
Logansport, IN 46947-1572 - Phone
- (574) 722-7407
- Fax
- (574) 735-0429
- NPI assigned
- Jul 18, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046661A | IN | Primary |
Addresses
Primary practice location
1700 Dividend Dr
Logansport, IN 46947-1572
Mailing address
1700 Dividend Dr
Logansport, IN 46947-1572
Phone (574) 722-7407
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A L Pollard Rainbow Hospitalists | Family Medicine | Past | Accepting new patients |
| Anthony L Pollard DO a Professional Corporation | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba United Hospitalists of Nevada
- Family Medicine Physician
- Las Vegas, NV
- NPI 1073725214
-
dba Rainbow Medical Centers
- Family Medicine Physician
- Las Vegas, NV
- NPI 1518189745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1851310239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 DIVIDEND DR",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471572",
"telephone_number": "574-722-7407",
"fax_number": "574-735-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 DIVIDEND DR",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471572",
"telephone_number": "574-722-7407",
"fax_number": "574-735-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "RAFAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01046661A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.