Organization Active NPI

NCD Endocrinology LLC

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1053139303
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NCD ENDOCRINOLOGY LLC
Practice address
Torre Medica Suite 215
Carr 21 Num 1785 Ave Las Lomas #21
San Juan, PR 00922-0000
Phone
(787) 639-5353
NPI assigned
Sep 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dr. Nicolas A Cruz Dardiz, M.D.NPI 1619351103
Title
Ceo
Phone
(787) 646-6041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Torre Medica Suite 215
Carr 21 Num 1785 Ave Las Lomas #21
San Juan, PR 00922-0000

Mailing address

PO Box 361513
San Juan, PR 00936-1513
Phone (787) 646-6041

Other practice location 1

Carr 167 Ad-10 Marginal
Urb. Bella Vista
Bayamon, PR 00956-0000
Phone (787) 230-7530

Other practice location 2

CALLE GARCIA URB 8 y 9
Urb. Santa Cruz
Bayamon, PR 00957-0000
Phone (787) 230-7530

Other practice location 3

113 Calle Rodrigo De Triana
San Juan, PR 00918-3207
Phone (787) 230-7530

Other identifiers 1

IdentifierTypeStateIssuer
40082300MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223002369 PR Part B Supplier - Clinic/Group Practice 0648765040 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1053139303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361513",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361513",
            "telephone_number": "787-646-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SUITE 215",
            "address_2": "CARR 21 NUM 1785 AVE LAS LOMAS #21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220000",
            "telephone_number": "787-639-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 167 AD-10 MARGINAL",
            "address_2": "URB. BELLA VISTA",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CALLE GARCIA URB 8 y 9",
            "address_2": "URB. SANTA CRUZ",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009570000",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Calle Rodrigo De Triana",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183207",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NCD ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ DARDIZ",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-646-6041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40082300",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.