Individual provider Active NPI

Joaquin Roberto Ortiz-Cruz, MD

  • Neuroradiology Physician
  • San Juan, PR
National Provider Identifier
1083069876
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
22389 Issued in PR
Practice address
1362 Ave Magdalena
Apt 802
San Juan, PR 00907-2029
Phone
(787) 366-7496
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X 22389 PR Primary

Addresses

Primary practice location

1362 Ave Magdalena
Apt 802
San Juan, PR 00907-2029

Mailing address

1362 Ave Magdalena
Apt.802
San Juan, PR 00907-2029
Phone (787) 366-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joaquin.ortiz@upr.edu

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
I20221004002357 PR Practitioner - Diagnostic Radiology 1951787670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology and Body Imaging PSCGroup PAC ID 1557790110, 16 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 375
San Juan, PR 00917-5025
Phone (787) 758-2000

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Oncology & Body Imaging PSC Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Recinto de Ciencias Medicas Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients

Locations

Asem
San Juan, PR 00935

Organizations & group practices 3

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.

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1083069876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 AVE MAGDALENA",
            "address_2": "APT.802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072029",
            "telephone_number": "787-366-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 AVE MAGDALENA",
            "address_2": "APT 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072029",
            "telephone_number": "787-366-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-CRUZ",
        "first_name": "JOAQUIN",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "22389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joaquin.ortiz@upr.edu",
            "affiliation": "N",
            "endpointDescription": "Institution email",
            "address_1": "1362 Ave Magdalena",
            "address_2": "Apt 802",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009072029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.