Individual provider Active NPI

Juan Gonzalez Cruz, M.D.

  • Surgery Physician
  • Ponce, PR
National Provider Identifier
1265491963
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12139 Issued in PR
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

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
12139PRMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Dec 28, 2017 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.

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 62 clinicians

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)22
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

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

Sources for this page

Verify at the official NPI Registry.