Active NPI
Osvaldo L. Cruz, M.D.
- Pediatrics Physician
- Luquillo, PR
National Provider Identifier
1124106737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 05383
- Practice address
- J6 2 St. Brisas del Mar
Sunny City 102
Luquillo, PR 00773-0000 - Phone
- (787) 889-3966
- Fax
- (787) 889-3966
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 05383 | PR | Primary |
Addresses
Primary practice location
J6 2 St. Brisas del Mar
Sunny City 102
Luquillo, PR 00773-0000
Mailing address
Cond. Playa Azul 3
Apt. 710
Luquillo, PR 00773-0000
Phone (787) 889-6215
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 |
|---|---|---|---|
| 05383 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124106737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. PLAYA AZUL 3",
"address_2": "APT. 710",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007730000",
"telephone_number": "787-889-6215",
"fax_number": "787-889-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J6 2 ST. BRISAS DEL MAR",
"address_2": "SUNNY CITY 102",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007730000",
"telephone_number": "787-889-3966",
"fax_number": "787-889-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "OSVALDO",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "05383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.