Victor Cruz, M.D.
Individual provider Active NPI Surgery Physician · Deming, NM
NPI 1861693947 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1861693947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD2011-0410 (NM)
- Practice address
- 1208 Columbus Rd
Deming, NM 88030-5208 - Phone
- (575) 546-9726
- Fax
- (575) 546-9155
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120223000722 | NM | Practitioner - General Surgery |
2365534930 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0410 | NM | MD | Colon & Rectal Surgery Physician |
| 9182993-1205 | UT | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valued Medical Care LLC | Current |
Accepting new patients | |
| Otero County Hospital Association | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Otero County Hospital Association | Current |
Accepting new patients | |
| Deming Hospital Corporation | Past | Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
721 E Holly St
Ste B
Deming, NM 88030
Phone (575) 546-6010
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204
9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070
Interoperability endpoints
- vcruz@mcmc.securechart.com
- vcruz142@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2011-0410 | NM | Yes |
| Colon & Rectal Surgery Physician | 208C00000X | MD2011-0410 | NM | |
| Colon & Rectal Surgery Physician | 208C00000X | 9182993-1205 | UT |
Addresses
Primary practice location
1208 Columbus Rd
Deming, NM 88030-5208
Mailing address
1208 Columbus Rd
Deming, NM 88030-5208
Phone (575) 546-9726
Other providers in Deming, NM
- Yvonne Contreras
- Dolores Coronado
- James Allen Coughlin
- County of Luna
- Megan S Crady
- Sara Davalos
- Patricia Ann Delao
- Deming Clinic Corporation
- Deming Dental and Oral Surgery Center
- Deming Dental Services, P.a.
All providers in Deming, NM · Surgery Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.