Rafael Cruz, M.D.
Individual provider Active NPI Family Medicine Physician · Logansport, IN
NPI 1851310239 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1851310239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01046661A (IN)
- Practice address
- 1700 Dividend Dr
Logansport, IN 46947-1572 - Phone
- (574) 722-7407
- Fax
- (574) 735-0429
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony L Pollard DO a Professional Corporation | Family Medicine | Past | Accepting new patients |
| A L Pollard Rainbow Hospitalists | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01046661A | IN | Yes |
Addresses
Primary practice location
1700 Dividend Dr
Logansport, IN 46947-1572
Mailing address
1700 Dividend Dr
Logansport, IN 46947-1572
Phone (574) 722-7407
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025449080001 | Medicaid | PA | |
| MD-073155-L | Other | PA | MEDICAL LICENSE |
| 10380 | Other | NV | MEDICAL LICENSE |
| 221853-1 | Other | NY | MEDICAL LICENSE |
| 003102887 | Medicaid | NV | |
| CS11551 | Other | NV | PHARMACY CERTIFICATE |
Other providers in Logansport, IN
- Jennifer Lynn Craig
- Connie Sue Cripe
- Brook Jyllaine Crist
- Jessica Crume
- Glorisel Cruz Velez
- Kayci Cunningham
- Curtis Kesling
- Chad E Davis
- James R Davis
- Levi Randall Davis Jr.
All providers in Logansport, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.