National Provider Identifier

Lourdes Forlales Cruz, M.D.

Lourdes Forlales Cruz, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Amherst, NY and a listed phone number of (716) 832-3111.

NPI 1922036227Amherst, NYPediatric Adolescent Medicine Physician

Profile Overview

NPI
1922036227
Provider Type
Individual
Primary Specialty
Pediatric Adolescent Medicine Physician
Enumeration Date
June 28, 2006
Last Updated
July 08, 2007

Practice Location

  • 71 Kenmore Ave
  • Amherst, NY 14226-3031

Phone: (716) 832-3111

Specialties

  • Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
NPI
1922036227
Entity Type
Individual
Last Name
Cruz
First Name
Lourdes
Middle Name
Forlales
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
71 Kenmore Ave
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3031
Mailing Country
US
Mailing Phone
(716) 832-3111
Mailing Fax
(716) 836-3212
Practice Street Address
71 Kenmore Ave
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3031
Practice Country
US
Practice Phone
(716) 832-3111
Practice Fax
(716) 836-3212
Enumeration Date
June 28, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Adolescent Medicine Physician (2080A0000X)
Other Identifiers
00951822 (NY)