Individual
RAFAEL F CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 E COURT AVE STE 102, JEFFERSONVILLE, IN 47130-3474
(812) 913-4416
(812) 213-8409
Mailing address
1010 W HARRISON AVE, CLARKSVILLE, IN 47129-2537
(859) 468-5065
(502) 272-5114
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01046661A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
37305
KY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
60939143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00319187
RAILROAD MEDICARE
IN
Enumeration date
04/21/2006
Last updated
05/02/2022
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