DR. PABLITO DELA CRUZ M.D. NPI 1003870791

Pediatrics in Terre Haute, IN

About PABLITO DELA CRUZ

Pablito Dela Cruz is a provider in Terre Haute, IN. The NPI number assigned to this provider is 1003870791. The practitioner's primary taxonomy code is Pediatrics (208000000X). The provider is registered as an individual and their NPI record was last updated 4 years ago.

NPI1003870791 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. PABLITO DELA CRUZ M.D.
Provider Location Address1310 E DAVIS DR TERRE HAUTE, IN 47802 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1310 E DAVIS DR TERRE HAUTE, IN 47802 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-12-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-20-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. PABLITO DELA CRUZ M.D.
1310 E DAVIS DR
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 232-7337
Fax: (812) 232-7338
Get Directions

Mailing Address

DR. PABLITO DELA CRUZ M.D.
1310 E DAVIS DR
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 232-7337
Fax: (812) 232-7338

Primary Taxonomy

Taxonomy Code208000000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.01059798
License StateIN
Taxonomy DescriptionA 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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology01059798AINNo

Taxonomy Description: a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200507050MEDICAID (05)IN
F60761MEDICARE UPIN (02)
224070AMEDICARE PIN (08)IN

Map Location


DR. PABLITO DELA CRUZ M.D. address is 1310 E DAVIS DR TERRE HAUTE, IN 47802

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295279149MRS. TONYA QUEEN NP-C
Individual
Nurse Practitioner (Pediatrics)1310 E DAVIS DR
TERRE HAUTE, IN 47802
(812) 232-7337
1518921212DR. MARIA LILY VASCO DELA CRUZ M.D.
Individual
Pediatrics1310 E DAVIS DR
TERRE HAUTE, IN 47802
(812) 232-7337
1588605349MIDWEST CHILD AND ADOLESCENT SPECIALTY GROUP, P.C.
Organization
Pediatrics1310 E DAVIS DR
TERRE HAUTE, IN 47802
(812) 232-7337