RAFAEL DE LA CRUZ (NPI# 1669460655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669460655 |
| Entity Type | Individual |
| Full Name | RAFAEL DE LA CRUZ |
| Credential | MD |
| Practice Address |
4 Memorial Dr 1st Floor Alton IL 62002-6751 |
| Mailing Address |
670 Mason Ridge Center Dr Ste. 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6363442014 |
| Practice Fax Number | 3147471476 |
| Mailing Telephone | 6363442014 |
| Mailing Fax Number | 3147471476 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-108921 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2008007441 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1669460655 | 05 |
| Street Address |
4 MEMORIAL DR 1ST FLOOR |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114460995 | Laura L Brandenburg | Nurse Practitioner | 4 Memorial Dr, Ste 230b, Alton, IL 62002-6751 | 2016-11-28 |
| 1417372772 | Mary Stuart | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2014-02-24 |
| 1750716726 | Lyndsi K Sievers | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2013-09-10 |
| 1386989549 | Casey Newgent | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2012-11-29 |
| 1457624108 | Brianna Phillips | Social Worker | 4 Memorial Dr, Alton, IL 62002-6705 | 2012-02-10 |
| 1962713073 | Dawn Nicole Talbert | Family Medicine | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2010-06-24 |
| 1295998748 | Olusegun Adebayo Coker | Family Medicine | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2008-07-04 |
| 1841461134 | Aaron Patrick Omotola | Orthopaedic Surgery | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2008-03-14 |
| 1104026707 | Christopher Ryan Aldridge | Surgery | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2007-07-20 |
| 1851598429 | John W Stirton | Orthopaedic Surgery | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982828422 | Midwest Acute Care Consultants PC | Internal Medicine | 1 Professional Dr Ste 150, Alton, IL 62002-5068 | 2007-04-13 |
| 1609868108 | Erik Christian Stabell | Internal Medicine | 1 Professional Dr, Suite 220, Alton, IL 62002-5068 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775038 | Aids Healthcare Foundation | Internal Medicine | 2600 S Michigan Ave # Ll-d, Chicago, IL 60616-2857 | 2020-06-19 |
| 1972152874 | Amanda M Zimmermann | Internal Medicine | 1870 W Winchester Rd Ste 247, Libertyville, IL 60048-5360 | 2019-09-04 |
| 1992213896 | Jennifer Marie Bassler | Internal Medicine | 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 | 2018-01-14 |
| 1699201582 | Id Associates Limited | Internal Medicine | 5 Hunt Club Ln, Oak Brook, IL 60523-2328 | 2017-05-11 |
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1265859607 | Alessandra Anna Secco | Internal Medicine | 7900 N Milwaukee Ave Ste 231a, Niles, IL 60714-3247 | 2014-03-24 |
| 1275962672 | Saira Rashida Ajmal | Internal Medicine | 4440 W 95th St Ste 301, Oak Lawn, IL 60453 | 2013-11-06 |
| 1942542519 | Andrew Blatt Thompson | Internal Medicine | 901 Mcclintock Dr Ste 201, Burr Ridge, IL 60527 | 2013-03-21 |
| 1013259779 | Allan Joseph Weinstein | Internal Medicine | 65 E Goethe St, Chicago, IL 60610-2628 | 2013-03-20 |
| 1871832428 | Harvey Kantor | Internal Medicine | 313 Whitmore Ln, Lake Forest, IL 60045-4707 | 2013-02-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.