Individual
ABELARDO C CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3321
(402) 354-8600
(402) 354-8965
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21907
NE
207R00000X
Internal Medicine Physician
34294
IA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
34294
IA
207RR0500X
Rheumatology Physician
34294
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053361915
—
IA
05
—
47068731798
—
NE
Enumeration date
05/11/2006
Last updated
12/19/2013
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