Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAFAEL DE LA CRUZ, MD
ActiveRAFAEL DE LA CRUZ, MD is a Infectious Disease healthcare provider located in ALTON, Illinois. NPI 1669460655 is currently active in the NPPES registry. Verify at CMS.
Infectious Disease · ALTON, IL
Registration Details
- NPI Number
- 1669460655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2005 (20.87619020097 yrs)
- Last Updated
- Feb 26, 2021
- Licenses
-
2008007441 (MO)036-108921 (IL)
Practice Information
- Address
-
4 MEMORIAL DR STE 230BALTON, IL, 620026705Browse IL providers · Browse ZIP 62002
- Phone
- 6363442014
- Fax
- 3147471476
- Primary Specialty
-
Infectious Disease
207RI0200X
- Additional Specialty
- Infectious Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.