Samuel Cruz Estrada, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18280 Issued in PR

Practice address

Urb Penuelas Valley
Calle 1 Num 41
Penuelas, PR 00624

Phone

(787) 674-8729

NPI assigned

Aug 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: samuel.cruz@cspsp.directbygreenway.com

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.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Federally Qualified Health Center (FQHC)
  • Patillas, PR
  • NPI 1275539728

  PR

  Medicare reassignment Care Compare group

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro Servicios Primarios de Salud de Patillas Inc. 20 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1265711477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PENUELAS VALLEY",
            "address_2": "CALLE 1 NUM 41",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-674-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PENUELAS VALLEY",
            "address_2": "CALLE 1 NUM 41",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-674-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ESTRADA",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Colon Medina, DDS
• Emmanuel Jose Colon, PHARM.D.
• Juana Enid Colon
• Lydia Esther Colon, MD
• Virmarie Correa
• Luisa Cruz
• Mariangeles Diaz
• DQF Pediatrics Corp.
• Ileana Echevarria Martinez, M.D.
• Aixa Echevarria, RN

• All providers in Penuelas, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.

Verify at the official NPI Registry.