EDGAR R DELACRUZ MD INC
NPI 1477868305
Specialist in Dover, OH

Active since August 16, 2010
715 E SHAFER AVE, DOVER, OH 44622(330) 364-7764(330) 343-8162 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgar R Delacruz Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR R DELACRUZ MD INC (NPI 1477868305) is a healthcare organization registered as a specialist in Dover, Ohio and active in the NPI registry since August 2010. The organization lists Edgar Rodriguez Delacruz, Doctor, as its authorized official.

NPPES Registry Identity

NPI1477868305
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEDGAR R DELACRUZ MD INC
Location Address715 E SHAFER AVEDover, OH 44622-2053
Mailing Address715 E Shafer AveDover, OH 44622-2053 · (330) 364-7764 · Fax (330) 343-8162
Fax(330) 343-8162
Organization SubpartNo
Authorized OfficialEdgar Rodriguez DelacruzDoctor · (330) 364-7764
Enumeration DateAugust 16, 2010
Last NPPES UpdateNovember 17, 2011
NPI 1477868305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OH · 35043776
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

715 E SHAFER AVE, Dover, OH 44622

Other Identifiers 3

Medicaid3090533OH
Medicare UPINA-80554OH
Medicare PIN0526351OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
715 E SHAFER AVE
DOVER, OH 44622
Family Medicine
715 E SHAFER AVE
DOVER, OH 44622
Family Medicine
715 E SHAFER AVE
DOVER, OH 44622

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar R Delacruz MD Inc's NPI number?

The NPI number for Edgar R Delacruz MD Inc is 1477868305. It was assigned to this organization in the NPPES registry on August 16, 2010.

Where is Edgar R Delacruz MD Inc located?

Edgar R Delacruz MD Inc is located at 715 E Shafer Ave, Dover, OH 44622. The listed phone number is (330) 364-7764.

What is Edgar R Delacruz MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Edgar R Delacruz MD Inc was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.