Individual provider Active NPI

Ramon Luis Cruz Rivera, M.D.

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1174837546
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28054 Issued in PR
Practice address
258 Av San Jorge
San Juan, PR 00912-0000
Phone
(787) 727-1000
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 18514 PR
General Acute Care Hospital 282N00000X 18514 PR
Critical Access Hospital 282NC0060X 18514 PR
Children's Hospital 282NC2000X 18514 PR
Emergency Medicine Physician 207P00000X 28054 PR Primary

Addresses

Primary practice location

258 Av San Jorge
San Juan, PR 00912-0000

Mailing address

PO Box 404
Dorado, PR 00646-0404
Phone (787) 727-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001059 PR Practitioner - Emergency Medicine 7810210242 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18514PRMDPersonal Emergency Response Attendant
28054PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ramon Cruz Rivera LLC Emergency Medicine CurrentSince Mar 2, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 1, 2015 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 1, 2015 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1174837546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460404",
            "telephone_number": "787-727-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 AV SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-727-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RIVERA",
        "first_name": "RAMON",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "18514",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "18514",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PR",
            "license": "18514",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "PR",
            "license": "18514",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "28054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.