Organization
NEWPATH BEHAVIORAL REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR CRUZ MD (PHYSICIAN)
(719) 543-6988
Entity
Organization
Contact information
Practice address
128 S UNION AVE, SUITE C, PUEBLO, CO 81003-3443
(719) 543-6988
(719) 542-1290
Mailing address
PO BOX 568, PUEBLO, CO 81002-0568
(719) 296-5840
(719) 542-0746
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23403
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234038
—
CO
01
—
CR19308
BCBS
—
01
—
DB7127
RR MEDICARE
—
Enumeration date
04/25/2007
Last updated
01/07/2008
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