Individual provider Active NPI

Victor Cruz, M.D.

  • Surgery Physician
  • Deming, NM
National Provider Identifier
1861693947
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2011-0410 Issued in NM
Practice address
1208 Columbus Rd
Deming, NM 88030-5208
Phone
(575) 546-9726
Fax
(575) 546-9155
NPI assigned
May 29, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2011-0410 NM Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000722 NM Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 2365534930 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2011-0410NMMDColon & Rectal Surgery Physician
9182993-1205UTMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Hospital Corporation Current Accepting new patients
Otero County Hospital Association CurrentSince Nov 1, 2019 Accepting new patients
Valued Medical Care LLC CurrentSince Apr 15, 2010 Accepting new patients
Deming Hospital Corporation CurrentSince Nov 11, 2017 Accepting new patients
Otero County Hospital Association CurrentSince Nov 1, 2019 Accepting new patients
Deming Hospital Corporation CurrentSince Nov 11, 2017 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 A
Deming, NM 88030
Phone (575) 201-4204

721 E Holly St
Ste B
Deming, NM 88030
Phone (575) 546-6010

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070

Interoperability endpoints

  • Direct secure messaging: vcruz@mcmc.securechart.com
  • Direct secure messaging: vcruz142@yourcarecommunity.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1861693947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 COLUMBUS RD",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305208",
            "telephone_number": "575-546-9726",
            "fax_number": "575-546-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 COLUMBUS RD",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305208",
            "telephone_number": "575-546-9726",
            "fax_number": "575-546-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2011-0410",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NM",
            "license": "MD2011-0410",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "UT",
            "license": "9182993-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.