Individual provider Active NPI

Ricardo Cruz, MD

  • Anesthesiology Physician
  • Ponce, PR
National Provider Identifier
1245298926
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11667 Issued in PR
Practice address
609 Ave Tito Castro
Suite 102 PMB 346
Ponce, PR 00716-0200
Phone
(787) 319-7677
NPI assigned
May 3, 2006
Last updated
Jan 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11667 PR Primary

Addresses

Primary practice location

609 Ave Tito Castro
Suite 102 PMB 346
Ponce, PR 00716-0200

Mailing address

PO Box 374
Suite 102 PMB 346
Cabo Rojo, PR 00623-0374
Phone (787) 975-4993

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
I20160307001910 PR Practitioner - Anesthesiology 4183920812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ponce School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Cardio General Anesthesia CSPGroup PAC ID 8022297209, 2 clinicians

Practice addresses (Care Compare)

410 Ave Hostos
Mayaguez, PR 00682-1560
Phone (787) 652-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11667PRMDAnesthesiology Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1245298926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "address_2": "SUITE 102 PMB 346",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230374",
            "telephone_number": "787-975-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PMB 346",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-319-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "11667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.