Individual provider Active NPI

Elsie Ivette Cruz-Cuevas, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1073519716
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12806 Issued in PR
Practice address
1056 Ave Munoz Rivera
First Federal Building #1056 Suite 610
San Juan, PR 00927-5015
Phone
(787) 772-4669
Fax
(787) 281-7615
NPI assigned
Jun 27, 2005
Last updated
May 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12806 PR Primary

Addresses

Primary practice location

1056 Ave Munoz Rivera
First Federal Building #1056 Suite 610
San Juan, PR 00927-5015

Mailing address

1056 Ave. Munoz Rivera
First Federal BLD Suite 610
San Juan, PR 00927
Phone (787) 772-4669

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
I20040917000065 PR Practitioner - Internal Medicine 9931177060 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

1056 Ave Munoz Rivera
San Juan, PR 00927-5015
Phone (787) 772-4669

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Oct 17, 2014 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 2000 Accepting new patients
Servicios Medicos Universitarios Inc Internal Medicine Past Accepting new patients

Locations

BO Monacillos Ctro Medico
San Juan, PR 00935

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1073519716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 AVE. MUNOZ RIVERA",
            "address_2": "FIRST FEDERAL BLD SUITE 610",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-772-4669",
            "fax_number": "787-281-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 AVE MUNOZ RIVERA",
            "address_2": "FIRST FEDERAL BUILDING #1056 SUITE 610",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275015",
            "telephone_number": "787-772-4669",
            "fax_number": "787-281-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-CUEVAS",
        "first_name": "ELSIE",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.