Active NPI
Sussan Ylanairy De la Cruz Ramirez, MD
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1104674415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 024725
- Practice address
- KM 11.7 PR-2
Bayamon, PR 00959 - Phone
- (832) 656-8821
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 024725 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PR |
Addresses
Primary practice location
KM 11.7 PR-2
Bayamon, PR 00959
Mailing address
1370 Ave San Ignacio
San Juan, PR 00921-3825
Phone (832) 656-8821
Other names 1
- Dr. Sussan Ylanairy De la Cruz Ramirez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024725 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1104674415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 AVE SAN IGNACIO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213825",
"telephone_number": "832-656-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 11.7 PR-2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "832-656-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ RAMIREZ",
"first_name": "SUSSAN",
"middle_name": "YLANAIRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "024725",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSSAN",
"last_name": "DE LA CRUZ RAMIREZ",
"middle_name": "YLANAIRY",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bayamon, PR
- Michael Gabriel De Jesus Soto
- Demy A De Jesus, PH D
- Gabriel De Jesus, PSY.D.
- De la Cruz Miranda Orthopedic Services PSC
- Antonio A. De la Cruz Miranda, M.D.
- Frances Elimar De la Cruz Torres
- Alba Estela De la Cruz-Robles, MD
- Miguel Dario De la Cruz, M.D.
- Eneida Maria De la Torre - Lugo, M.D.
- Irene Margarita De la Torre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.