Healthcare Provider Details

I. General information

NPI: 1255659389
Provider Name (Legal Business Name): NORMAN J ARBELO CRUZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5334 S WOODROW ST STE 100
MURRAY UT
84107-5838
US

IV. Provider business mailing address

5334 S WOODROW ST STE 100
MURRAY UT
84107-5838
US

V. Phone/Fax

Practice location:
  • Phone: 801-713-6000
  • Fax:
Mailing address:
  • Phone: 801-713-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101251133
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101251133
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA153128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: