Jesus Cruz Rodriguez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

201 Avenida Gautier Benitez
Consolidated Medical Plaza 405a
Caguas, PR 00725

Phone

(787) 586-2488

NPI assigned

Feb 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Dermatologia Borinquen LLC

  • Dermatopathology Physician
  • Caguas, PR
  • NPI 1326745571
  NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1073211330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AVENIDA GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA 405A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-586-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVENIDA GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA 405A",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-586-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RODRIGUEZ",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Cruz Martinez
• Lilibeth Cruz Martinez
• Maria Cristina Cruz Miranda, PSY D
• Nilka Eliz Cruz Montalvo, MD
• Leonela Cruz Resto, LIC
• Ingrid Pamela Cruz Santiago Sr., LND
• Milianette Cruz Santiago
• Jennifer Cruz Torres, PHL
• Wilfredo Javier Cruz Velez, PHARMD
• Narelys Cruz- Nieves

• Community Health Worker in Caguas, PR
• Providers in Caguas, PR by specialty
• Community Health Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.