Individual
RAFAEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 DIVIDEND DR, LOGANSPORT, IN 46947-1572
(574) 722-7407
(574) 735-0429
Mailing address
1700 DIVIDEND DR, LOGANSPORT, IN 46947-1572
(574) 722-7407
(574) 735-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046661A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003102887
—
NV
05
—
1025449080001
—
PA
01
—
10380
MEDICAL LICENSE
NV
01
—
221853-1
MEDICAL LICENSE
NY
01
—
CS11551
PHARMACY CERTIFICATE
NV
01
—
MD-073155-L
MEDICAL LICENSE
PA
Enumeration date
07/18/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us