Ildefonso Cruz is a Family Medicine in Fresno, California. Ildefonso Cruz practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ildefonso Cruz is 1275689085. The last update date is 2023-03-07.
Ildefonso Cruz's current location address is 1646 E Herndon Ave Ste 102, Fresno, California. You can contact this provider via phone number 5594497300 and fax number 5594497311. The mailing address for Ildefonso Cruz is 1646 E Herndon Ave Ste 102, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ildefonso Cruz |
|---|---|
| Address | 1646 E Herndon Ave Ste 102, Fresno, California |
| Phone Number | 5594497300 |
| Fax Number | 5594497311 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275689085 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1646 E Herndon Ave Ste 102 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203380 |
| Phone Number | 5594497300 |
| Fax Number | 5594497311 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G28469 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G28469 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ildefonso Cruz by the Centers for Medicare & Medicaid Services?
The Ildefonso Cruz has been issued the NPI (National Provider Identifier) 1275689085 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ildefonso Cruz's facilities are situated?
The facilities of Ildefonso Cruz are physically located at the following address: 1646 E Herndon Ave Ste 102, Fresno, CA, 937203380.
What is Ildefonso Cruz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ildefonso Cruz is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275689085 to Ildefonso Cruz?
The Centers for Medicare & Medicaid Services assigned the 1275689085 to Ildefonso Cruz on 2007-01-25.
As of what date were the details related to Ildefonso Cruz most recently updated or revised?
The information pertaining to Ildefonso Cruz, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.