Individual provider Active NPI

Ada S Martinez-Cruz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1174608756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5527 Issued in PR
Practice address
Calle Periferal Ed. a Pabellon 2
Terrenos de Centro Medico
San Juan, PR 00936
Phone
(787) 274-5553
Fax
(787) 274-5554
NPI assigned
Oct 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5527 PR Primary

Addresses

Primary practice location

Calle Periferal Ed. a Pabellon 2
Terrenos de Centro Medico
San Juan, PR 00936

Mailing address

Cond Mundo Feliz
Rodriguez Emma St. Apt. 1010
Carolina, PR 00979-5801
Phone (787) 391-1145

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

LicenseStateTypeSpecialty
5527PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174608756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MUNDO FELIZ",
            "address_2": "RODRIGUEZ EMMA ST. APT. 1010",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795801",
            "telephone_number": "787-391-1145",
            "fax_number": "787-274-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PERIFERAL ED. A PABELLON 2",
            "address_2": "TERRENOS DE CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-274-5553",
            "fax_number": "787-274-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-CRUZ",
        "first_name": "ADA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.

Verify at the official NPI Registry.