Rafael F Cruz, MD
Emergency Medicine, Emergency Medical Services in Jeffersonville, IN. Individual provider (NPI-1).
NPI number1588620207
StatusActive
Last updated in NPPESMay 2, 2022
Details
- NPI
- 1588620207
- Entity type
- Individual (NPI-1)
- Name
- Rafael F Cruz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2006
- Certification date
- May 2, 2022
- Last updated
- May 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 01046661A | IN | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 37305 | KY | |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 60939143 | WA |
Practice location
405 E Court Ave Ste 102Jeffersonville, IN 47130-3474
Phone 812-913-4416 · Fax 812-213-8409
Mailing address
1010 W Harrison AveClarksville, IN 47129-2537
Phone 859-468-5065 · Fax 502-272-5114
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