Individual provider Active NPI

Cristina Elizabeth Lorenzo Puesan, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1053445775
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10155 Issued in PR
Practice address
128 S Calle Ashford
Ashford Medical Plaza Ste 201
Guayama, PR 00784-5421
Phone
(787) 866-0000
Fax
(787) 864-0400
NPI assigned
Mar 15, 2007
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10155 PR Primary

Addresses

Primary practice location

128 S Calle Ashford
Ashford Medical Plaza Ste 201
Guayama, PR 00784-5421

Mailing address

PO Box 2411
Guayama, PR 00785-2411
Phone (787) 866-0000

Other identifiers 1

IdentifierTypeStateIssuer
038335800MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080314000508 PR Practitioner - General Practice 2860577848 Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Ashford 128 Edif Ashford Medical
Suite 201
Guayama, PR 00784
Phone (787) 864-0400

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: cristina.lorenzo.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1053445775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2411",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852411",
            "telephone_number": "787-866-0000",
            "fax_number": "787-864-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S CALLE ASHFORD",
            "address_2": "ASHFORD MEDICAL PLAZA STE 201",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845421",
            "telephone_number": "787-866-0000",
            "fax_number": "787-864-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO PUESAN",
        "first_name": "CRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038335800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.