Individual provider Active NPI

Mercedes P Cruz Roman, RPT

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1225453061
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
420 Issued in PR
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

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
420PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.