Ivonne Migdalia Nieves Cruz, M.D.
Individual provider Active NPI General Practice Physician · Comerio, PR
NPI 1093700718 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093700718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 15756 (PR)
- Practice address
- Carr. 7774 KM 0.2 Bo. Pinas Abajo Sactor la Mora
Comerio, PR 00782 - Phone
- (787) 875-4225
- Fax
- (787) 875-4225
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000836 | PR | Practitioner - General Practice | 6002851516 | Practice locations: Comerio, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15756 | PR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15756 | PR | Yes |
Addresses
Primary practice location
Carr. 7774 KM 0.2 Bo. Pinas Abajo Sactor la Mora
Comerio, PR 00782
Mailing address
PO Box 58
Comerio, PR 00782-0058
Phone (787) 875-4225
Other providers in Comerio, PR
- Annette Vilmarie Middelhof
- Ezequiel Molina Diaz
- Montesoro Inc
- Johanna Morales
- Mussa Ambulance LLC
- Dariana Minerva Nunez-Medina
- Nur Salud Comunitaria Inc
- Juan Diego Ocasio
- Gladelis Ortega Cumba
- Claribel Ortiz
All providers in Comerio, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.