Individual provider Active NPI

Arnaldo Cruz Igartua, M.D.

  • Addiction Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1013110899
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
7654 Issued in PR
Practice address
1513 Calle Parana
Urb. El Paraiso
San Juan, PR 00926-2814
Phone
(787) 764-8479
Fax
(787) 764-8479
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 7654 PR Primary

Addresses

Primary practice location

1513 Calle Parana
Urb. El Paraiso
San Juan, PR 00926-2814

Mailing address

317 Calle Interamericana
University Gardens
San Juan, PR 00927-4011
Phone (787) 764-8479

Other practice location 1

8803 Vistana Centre Dr
Orlando, FL 32821-6354
Phone (413) 349-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171109002655 MA Practitioner - PsychiatryPractitioner - Addiction Medicine 5496011330 Reassigns benefits to 1 organization
I20221206001973 FL Practitioner - Psychiatry 5496011330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7654PRMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Integrative Psychiatric Group CurrentSince Oct 1, 2023 Accepting new patients
Innovative Physician Services LLC CurrentSince Aug 1, 2020 Accepting new patients
RMG Home Care, Inc Past Accepting new patients
Health Quality Inc. PastSince Mar 4, 2021 Accepting new patients

Locations

512 W Cherry St
Ste C
Kissimmee, FL 34741
Phone (407) 460-0418

8803 Vistana Centre Dr
Orlando, FL 32821
Phone (413) 301-6019

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

90 Madison St
Ste 302
Worcester, MA 01608
Phone (508) 713-0297

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1013110899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CALLE INTERAMERICANA",
            "address_2": "UNIVERSITY GARDENS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274011",
            "telephone_number": "787-764-8479",
            "fax_number": "787-764-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CALLE PARANA",
            "address_2": "URB. EL PARAISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262814",
            "telephone_number": "787-764-8479",
            "fax_number": "787-764-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8803 Vistana Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328216354",
            "country_code": "US",
            "telephone_number": "413-349-5033",
            "fax_number": "413-363-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ IGARTUA",
        "first_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PR",
            "license": "7654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.