Active NPI
Cesar Jose Cruz
- Physical Therapist
- Bayamon, PR
National Provider Identifier
1114690914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4505
- Practice address
- 50 Ave Ramon L Rodriguez, Chalets de Bayamon
Apt 931
Bayamon, PR 00959 - Phone
- (787) 675-3285
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4505 | PR | Primary |
Addresses
Primary practice location
50 Ave Ramon L Rodriguez, Chalets de Bayamon
Apt 931
Bayamon, PR 00959
Mailing address
50 Ave Ramon L Rodriguez
Chalets de Bayamon Apt 931
Bayamon, PR 00959000
Phone (787) 675-3285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022003330 | PR | Practitioner - Physical Therapist in Private Practice | 6103358676 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4505 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Balance, Physical Therapy Group LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Bayamon, PR
- NPI 1861336083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1114690914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 AVE RAMON L RODRIGUEZ",
"address_2": "CHALETS DE BAYAMON APT 931",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959000",
"telephone_number": "787-675-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 AVE RAMON L RODRIGUEZ, CHALETS DE BAYAMON",
"address_2": "APT 931",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-675-3285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CESAR",
"middle_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.