Edgardo Ariel Carreras Cruz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22422 Issued in PR

Practice address

Av Americo Miranda S/N Barrio Monacillos
San Juan, PR 00935-3414

Phone

(787) 221-3245

NPI assigned

May 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1184246944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1191",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941191",
            "telephone_number": "787-221-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV AMERICO MIRANDA S/N BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009353414",
            "telephone_number": "787-221-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS CRUZ",
        "first_name": "EDGARDO",
        "middle_name": "ARIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Carrasquillo, M.D.
• Samari E Carrasquillo, O.T
• Suleica Carrasquillo
• Waldemar Carrasquillo, D.C.
• Kaysha M. Carrer Burgos, RDN
• Kenia Carreras de la Rosa, MD, MPH
• Josely A Carreras Hernandez, M. D.
• Aileen Carreras, MD
• Evelyn Carrero - Nieves, M.D.
• Teresa T Carrero Girald

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.