Organization Active NPI

Cruz Internal Medicine Corp.

  • Internal Medicine Physician
  • Hato Rey, PR
National Provider Identifier
1194721399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11349 Issued in PR
Legal business name
CRUZ INTERNAL MEDICINE CORP.
Practice address
407 B Fernando Montilla Esq J. J. Jimenez
Hato Rey, PR 00918
Phone
(787) 763-3434
Fax
(787) 763-2852
NPI assigned
Jun 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lydia Enid Morales
Title
President
Phone
(787) 758-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11349 PR Primary

Addresses

Primary practice location

407 B Fernando Montilla Esq J. J. Jimenez
Hato Rey, PR 00918

Mailing address

P.O. Box 190740
San Juan, PR 00919-0740
Phone (787) 763-3434

Other identifiers 1

IdentifierTypeStateIssuer
84763OtherSSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194721399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 190740",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190740",
            "telephone_number": "787-763-3434",
            "fax_number": "787-763-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 B FERNANDO MONTILLA ESQ J. J. JIMENEZ",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-763-3434",
            "fax_number": "787-763-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ INTERNAL MEDICINE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-758-0222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "84763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.