Active NPI
Juan Gonzalez Cruz, M.D.
- Surgery Physician
- Ponce, PR
National Provider Identifier
1265491963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 12139
- Practice address
- Edificio Parra Ponce by Pass
Suite 704
Ponce, PR 00716 - Phone
- (787) 259-5031
- Fax
- (787) 290-2277
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 12139 | PR | Primary |
Addresses
Primary practice location
Edificio Parra Ponce by Pass
Suite 704
Ponce, PR 00716
Mailing address
PO Box 9067
Pampanos Station
Ponce, PR 00732-9067
Phone (787) 259-5031
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050610000826 | PR | Practitioner - General Surgery | 0143264119 |
Reassigns benefits to 2 organizations Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12139 | PR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Centro, Inc. | Current | Accepting new patients | |
| Hospital Damas Inc | Past | Accepting new patients |
Locations
1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Juana Diaz, PR
- NPI 1760755276
-
- Federally Qualified Health Center (FQHC)
- Penuelas, PR
- NPI 1225301641
-
- Federally Qualified Health Center (FQHC)
- Villalba, PR
- NPI 1538432042
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1669097374
-
- Federally Qualified Health Center (FQHC)
- Coamo, PR
- NPI 1710515093
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1730564121
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1942573530
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1225395676
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1730159286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Med Centro Inc
Practice addresses (Care Compare)
1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025
Hospital & facility affiliations
- Hospital Damas Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 22 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1265491963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9067",
"address_2": "PAMPANOS STATION",
"city": "PONCE",
"state": "PR",
"postal_code": "007329067",
"telephone_number": "787-259-5031",
"fax_number": "787-290-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO PARRA PONCE BY PASS",
"address_2": "SUITE 704",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-259-5031",
"fax_number": "787-290-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ CRUZ",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "12139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Eric Javier Gonzalez Albert, ATO
- Giovanni A Gonzalez Albo, MD
- Daniela Maria Gonzalez Alvarado
- Adrian Eduardo Gonzalez Bravo
- Harry Emmanuel Gonzalez Castro
- Hector Emanuel Gonzalez de Jesus, MD
- Efrain D Gonzalez Droz, MD
- Guillermo Jose Gonzalez Figueroa
- Carolina Isabelle Gonzalez Frontera
- Carille Gonzalez Gomez, THL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.