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NPI 1679739122ActiveOrganization· General Practice· Livonia, MI
General Practice in Livonia, Michigan, registered in NPPES in August 2008. The authorized official on file is Fanny Aguirre Dela Cruz, M.D., Administrative Director.
Overview
| NPI | 1679739122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2008 |
| Last updated in NPPES | Aug 6, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 36977 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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