Organization
IDXPERT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORLANDO CRUZ M.D. (PRESIDENT)
(314) 729-1350
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SUITE 259B, SAINT LOUIS, MO 63128-2141
(314) 729-1350
(314) 222-0614
Mailing address
URB BELLAS LOMAS, #907 CALLE CRUZ, MAYAGUEZ, PR 00682
(314) 729-1350
(314) 222-0614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110831
BLUE CROSS-BLUE SHIELD
MO
01
—
11563
ESSENCE
MO
01
—
1555912
CIGNA
MO
01
—
2056665
AETNA HMO
MO
01
—
2220
HEALTHCARE USA
MO
01
—
290274
GHP
MO
05
—
5056433805
—
MO
01
—
5859116
AETNA
MO
01
—
9200025
UNITED HEALTHCARE
MO
Enumeration date
11/02/2006
Last updated
01/18/2011
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