Lourdes Forlales Cruz, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

136118 Issued in NY

Practice address

71 Kenmore Ave
Amherst, NY 14226-3031

Phone

(716) 832-3111

Fax

(716) 836-3212

NPI assigned

Jun 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922036227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KENMORE AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263031",
            "telephone_number": "716-832-3111",
            "fax_number": "716-836-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KENMORE AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263031",
            "telephone_number": "716-832-3111",
            "fax_number": "716-836-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LOURDES",
        "middle_name": "FORLALES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "136118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00951822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Cress, SLP
• Aliya Marie Crewson, S.L.P.
• Shaun Patrick Crimmins, LCSW-R
• Spencer Cromwell
• Dakota John Cruz, MASSAGE THERAPIST
• Jack Cukierman, MD
• Alison Cummings, D.C.
• Curana Health
• Curascript Pharmacy Inc
• Eric William Curtis, CCC-SLP

• Pediatric Adolescent Medicine Physician in Amherst, NY
• Providers in Amherst, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.