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CARLOS A. CRUZ MD PC NPI 1205221942


NPI Information

NPI: 1205221942
Provider Name: CARLOS A. CRUZ, MD, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 21D2124082

Address:
1707 OSAGE ST STE 303
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 824-0970
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CARLOS A. CRUZ, MD, PC is a pediatrics in Alexandria, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CARLOS A. CRUZ, MD, PC NPI is 1205221942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1707 OSAGE ST STE 303
ALEXANDRIA, VA
ZIP 22302-611
Phone: (703) 824-0970
Fax: (703) 824-0972

The provider's authorized official is Carlos Alberto Cruz .
The authorized official title is Physician and has the following contact phone number (301) 434-1096.

The CLIA number assigned to this NPI record is 21D2124082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2015 and was last updated on 3/31/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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