Organization Active NPI

Cruz & Herrera MDS PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1952599003
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CRUZ & HERRERA MDS PC
Practice address
375 E Fordham Rd
Bronx, NY 10458-5033
Phone
(718) 564-3826
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Alcedo Cruz, MD
Title
President
Phone
(718) 584-3826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

375 E Fordham Rd
Bronx, NY 10458-5033

Mailing address

375 E Fordham Rd
Bronx, NY 10458-5033
Phone (718) 564-3826

Other identifiers 1

IdentifierTypeStateIssuer
02131400MedicaidNY

National Provider Directory

National Provider Directory

Locations

375 E Fordham Rd
Bronx, NY 10458
Phone (718) 564-3826

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1952599003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585033",
            "telephone_number": "718-564-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585033",
            "telephone_number": "718-564-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ & HERRERA MDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALCEDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-584-3826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.