Active NPIIndividual provider

Wilson J Cruz-Leal, MD

Family Medicine in Greenwood, Arkansas

NPI Number1477644979
Practice location
1480 W Center St, Greenwood, AR 72936-3449
Fax
479-996-5386
Last updated
November 23, 2016

Wilson Javier Cruz-Leal is a Family Medicine based in Greenwood, AR. Wilson Javier Cruz-Leal practices in Greenwood, AR and has the professional credentials of MD. The NPI Number for Wilson Javier Cruz-Leal is 1477644979 and holds a License No. A106916 (CA). The current practice location address for Wilson Javier Cruz-Leal is 1480 W Center St, Greenwood, AR 72936-3449 and can be reached out via phone at 479-996-5585 and via fax at 479-996-5386.

Provider Profile Details

NPI Number
1477644979
Provider Name
Wilson Javier Cruz-Leal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1480 W Center St, Greenwood, AR 72936-3449
Phone Number
479-996-5585
Fax Number
479-996-5386
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 27, 2006
Last Update Date
November 23, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1480 W Center St
Greenwood, AR 72936-3449
Zip
72936-3449
Phone Number
479-996-5585
Fax Number
479-996-5386
Greenwood, AR 72936Get directions →

Provider Business Mailing Address Details

Address
Po Box 11449
Belfast, ME 04915-4005
City
Belfast
State
ME
Zip
04915-4005
Phone Number
479-709-1924
Fax Number
479-709-7499

License Information

License Number (1)
A106916
License State (1)
CA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
E5921
License State (2)
AR
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wilson J Cruz-Leal, MD?

The NPI number of Wilson J Cruz-Leal, MD is 1477644979. It was assigned on September 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Wilson J Cruz-Leal, MD?

Wilson J Cruz-Leal, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number A106916.

Where does Wilson J Cruz-Leal, MD practice?

The practice location is 1480 W Center St, Greenwood, AR 72936-3449. The office can be reached at 479-996-5585 (phone) or 479-996-5386 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477644979 directly on the NPPES registry website.

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