Quebradillas Health Management LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

QUEBRADILLAS HEALTH MANAGEMENT LLC

Practice address

Carr 2 KM 96.8 Bo Cocos
Quebradillas, PR 00678-0067

Phone

(787) 420-2090

NPI assigned

Aug 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Cruz Cruz, MD

Title

Administrator

Phone

(787) 248-0180

Specialties & licenses 1

Addresses

Other names 1

• Quebradillas Health Management LLC Doing business as

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1114751591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42818 CARR 482",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789326",
            "telephone_number": "787-420-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 96.8 BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780067",
            "telephone_number": "787-420-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEBRADILLAS HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ CRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-248-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quebradillas Health Management LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quebradillas Health Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Quiropractica Viva Natural CSP

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.