Individual provider Active NPI

Betty Chinea Cruz, MD

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1073566402
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12868 Issued in PR
Practice address
J23 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4616
Phone
(787) 854-0404
Fax
(787) 854-0403
NPI assigned
May 18, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12868 PR Primary

Addresses

Primary practice location

J23 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4616

Mailing address

400 Calle Un
Condominio Casa Maggiore Apt 518
Guaynabo, PR 00969-8001
Phone (787) 854-0404

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
I20041117000026 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 7214991546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

J23 Calle Elliot Velez
Manati, PR 00674-4616
Phone (787) 854-0404

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Chinea,LLC Gastroenterology CurrentSince Mar 1, 2013 Accepting new patients
Agm-Ge,LLC Gastroenterology PastSince Aug 13, 2013 Accepting new patients

Locations

J23 Calle Elliot Velez
Manati, PR 00674
Phone (787) 854-0404

J23 Calle Elliot Velez
Ste 201
Manati, PR 00674
Phone (787) 854-0404

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1073566402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE UN",
            "address_2": "CONDOMINIO CASA MAGGIORE APT 518",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009698001",
            "telephone_number": "787-854-0404",
            "fax_number": "787-854-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J23 CALLE ELLIOT VELEZ",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744616",
            "telephone_number": "787-854-0404",
            "fax_number": "787-854-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEA CRUZ",
        "first_name": "BETTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.