Individual provider Active NPI

Jorannie Cruz, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1235248949
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15986 Issued in PR
Practice address
Calle B # 34
Urb Casa Linda Court
Bayamon, PR 00959
Phone
(787) 869-5900
Fax
(787) 722-6980
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15986 PR Primary

Addresses

Primary practice location

Calle B # 34
Urb Casa Linda Court
Bayamon, PR 00959

Mailing address

PO Box 6942
Bayamon, PR 00960-5942
Phone (787) 459-1513

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
I20070205000405 PR Practitioner - General Practice 9638171663 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Puerto Rico, P.S.C CurrentSince Sep 15, 2014 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Sep 7, 2014 Accepting new patients
Physician H.M.O. Inc. CurrentSince Dec 26, 2015 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 7, 2014 Accepting new patients
JCN Medical Services LLC General Practice Past Accepting new patients
Pedro J Nevarez Bruno Past Accepting new patients

Locations

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

107 Calle Padre Las Casas
San Juan, PR 00918
Phone (787) 294-7801

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235248949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6942",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605942",
            "telephone_number": "787-459-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE B # 34",
            "address_2": "URB CASA LINDA COURT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-869-5900",
            "fax_number": "787-722-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JORANNIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.