NPIMap

Individual provider Active NPI

Christian Joe Cruz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1295591063
Registry record updated Jul 31, 2025
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24567 Issued in PR
Practice address
D12 Calle 3a
Urb. Hillside
San Juan, PR 00926-5209
Phone
(805) 863-2722
NPI assigned
Feb 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 24567 PR Primary

Addresses

Primary practice location

D12 Calle 3a
Urb. Hillside
San Juan, PR 00926-5209

Mailing address

D12 Calle 3a
Urb. Hillside
San Juan, PR 00926-5209
Phone (805) 863-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828003871 PR Practitioner - General Practice 3072014307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care Incorporated 29 clinicians
Professional Medical Center LLC 3 clinicians

Practice addresses (Care Compare)

1213 State Rd
Suite 20
Interlachen, FL 32148-2737
Phone (386) 328-0108

1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371

Praderas Shopping Mall
Carr 931 KM 5.3 Bo Navarro
Gurabo, PR 00778-9998
Phone (787) 704-3433

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24567PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Center, LLC CurrentSince Jul 1, 2025 Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1295591063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D12 CALLE 3A",
            "address_2": "URB. HILLSIDE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265209",
            "telephone_number": "805-863-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D12 CALLE 3A",
            "address_2": "URB. HILLSIDE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265209",
            "telephone_number": "805-863-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHRISTIAN",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.