Individual provider Active NPI

Estefania Cruzval O'Reilly, MD

  • Dermatology Physician
  • Bayamon, PR
National Provider Identifier
1083239214
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
24655 Issued in PR
Practice address
68 Calle Santa Cruz
Ste 305 Torre San Pablo
Bayamon, PR 00961-7031
Phone
(787) 798-1200
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 24655 PR Primary

Addresses

Primary practice location

68 Calle Santa Cruz
Ste 305 Torre San Pablo
Bayamon, PR 00961-7031

Mailing address

68 Calle Santa Cruz Ste 305
Bayamon, PR 00961-7036

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
I20260527000384 PR Practitioner - Dermatology 5395148076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

68 Calle Santa Cruz
Suite 306
Bayamon, PR 00961

70 Calle Alamanda
Apt 5176
Guaynabo, PR 00971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24655PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Dermatologico San Pablo, PSC Dermatology CurrentSince Apr 14, 2026 Accepting new patients
Eco MD LLC Dermatology Current Accepting new patients
RG Dermatology Dermatology PastSince Nov 9, 2017 Accepting new patients
MSV Dermatology Dermatology PastSince Apr 14, 2026 Accepting new patients

Locations

68 Calle Santa Cruz
Ste 306
Bayamon, PR 00961
Phone (787) 798-1200

68 Calle Santa Cruz
Ste 305
Bayamon, PR 00961
Phone (787) 798-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1083239214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 305",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ",
            "address_2": "STE 305 TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617031",
            "telephone_number": "787-798-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZVAL O'REILLY",
        "first_name": "ESTEFANIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "24655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.