Active NPI
Mercedes P Cruz Roman, RPT
- Physical Therapist
- San Juan, PR
National Provider Identifier
1225453061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 420
- Practice address
- 29 Calle Washington Ste 409
Ashford Medical Center
San Juan, PR 00907-1521 - Phone
- (787) 724-5577
- Fax
- (787) 721-1360
- NPI assigned
- Mar 4, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 420 | PR | Primary |
Addresses
Primary practice location
29 Calle Washington Ste 409
Ashford Medical Center
San Juan, PR 00907-1521
Mailing address
3205 Ave Isla Verde Apt 301
Cond. Galaxy
Carolina, PR 00979-4947
Phone (787) 688-5754
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 |
|---|---|---|---|
| 420 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andfran, 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 and National Provider Directory roles.
-
- Specialist
- San Juan, PR
- NPI 1053743344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1225453061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 AVE ISLA VERDE APT 301",
"address_2": "COND. GALAXY",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009794947",
"telephone_number": "787-688-5754",
"fax_number": "787-721-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CALLE WASHINGTON STE 409",
"address_2": "ASHFORD MEDICAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071521",
"telephone_number": "787-724-5577",
"fax_number": "787-721-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ ROMAN",
"first_name": "MERCEDES",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-04",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "420",
"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 Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.