Provider Demographics
NPI:1285665943
Name:ORBETA, FLOCERFINA CRUZ (MD)
Entity Type:Individual
Prefix:
First Name:FLOCERFINA
Middle Name:CRUZ
Last Name:ORBETA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-5008
Mailing Address - Country:US
Mailing Address - Phone:718-328-0040
Mailing Address - Fax:718-861-4019
Practice Address - Street 1:974 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-5008
Practice Address - Country:US
Practice Address - Phone:718-328-0040
Practice Address - Fax:718-861-4019
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180241261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000330410101OtherHEALTH PLUS
NYFO046F7010OtherBLUE CROSS BLUE SHIELD NY
NY000060455790OtherFIDELIS
NY0083107OtherGHI
NY01163762Medicaid
NY101014OtherAETNA
NY01163762OtherMETROPLUS
NY180241-A19OtherHEALTH FIRST
NY180241POtherGLOBAL ALLIANCE
NY960259OtherHIP
NYBX00198OtherAMERICHOICE
NY120685OtherWELLCARE