Active NPI
Ivelisse Cruz del Rosario
- Physician Assistant
- Toa Baja, PR
National Provider Identifier
1174338693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1448
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1448 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zuniga & Associates Inc. | Past | 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.
-
- Family Medicine Physician
- Toa Alta, PR
- NPI 1891330379
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.