Individual provider Active NPI

Ivelisse Cruz del Rosario

  • Physician Assistant
  • Toa Baja, PR
National Provider Identifier
1174338693
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1448 Issued in PR
Practice address
Carr 2 Ave Don Pelayo
Urb Haciendas del Norte
Toa Baja, PR 00949
Phone
(787) 870-4559
Fax
(787) 963-1565
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1448 PR Primary

Addresses

Primary practice location

Carr 2 Ave Don Pelayo
Urb Haciendas del Norte
Toa Baja, PR 00949

Mailing address

Carr 2 Ave Don Pelayo
Urb Haciendas del Norte
Toa Baja, PR 00949
Phone (787) 870-4559

Other practice location 1

Carr 2 Ave Don Pelayo
Urb Haciendas del Norte
Toa Baja, PR 00949
Phone (787) 963-0772

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

State licenses

LicenseStateTypeSpecialty
1448PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zuniga & Associates Inc. PastSince Feb 23, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1174338693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 2 AVE DON PELAYO",
            "address_2": "URB HACIENDAS DEL NORTE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-870-4559",
            "fax_number": "787-963-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 AVE DON PELAYO",
            "address_2": "URB HACIENDAS DEL NORTE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-870-4559",
            "fax_number": "787-963-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 2 AVE DON PELAYO",
            "address_2": "URB HACIENDAS DEL NORTE",
            "address_purpose": "LOCATION",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "country_code": "US",
            "telephone_number": "787-963-0772",
            "fax_number": "787-963-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ DEL ROSARIO",
        "first_name": "IVELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.