Individual provider Active NPI

Yazmin Cordero Cruz

  • Physician Assistant
  • Salinas, PR
National Provider Identifier
1003773144
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1349 Issued in PR
Practice address
B-3, Calle 8
Urb Las Marias
Salinas, PR 00751-2403
Phone
(787) 674-3487
NPI assigned
Jan 9, 2026
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1349 PR Primary

Addresses

Primary practice location

B-3, Calle 8
Urb Las Marias
Salinas, PR 00751-2403

Mailing address

2FQ3/73M, Calle Acerola
Coto Laure, Ponce, PR 00780
Phone (787) 848-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1349PRMDMedical-Surgical Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1003773144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2FQ3/73M, CALLE ACEROLA",
            "city": "COTO LAURE, PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B-3, CALLE 8",
            "address_2": "URB LAS MARIAS",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512403",
            "telephone_number": "787-674-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO CRUZ",
        "first_name": "YAZMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.