Individual provider Active NPI

Nitida B Cruz-Rosario, M.D.

  • Podiatrist
  • Caguas, PR
National Provider Identifier
1306856372
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0041 Issued in PR
Practice address
Ave. Jose Villares Esq. Corchado B-5
Urb. Paradise
Caguas, PR 00725
Phone
(787) 862-0822
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0041 PR Primary

Addresses

Primary practice location

Ave. Jose Villares Esq. Corchado B-5
Urb. Paradise
Caguas, PR 00725

Mailing address

Ave. Jose Villares Esq. Corchado B-5
Urb Paradise
Caguas, PR 00672
Phone (787) 862-0822

Other identifiers 6

IdentifierTypeStateIssuer
48054OtherPRMEDIGAP REFORMA
48054OtherPRTRIPLE SSS
50226OtherPRPREFERRED MEDICARE CHOISE
825758OtherPRMMM
6740101OtherPRHUMANA PUERTO RICO
48054OtherPRMEDIGAP TRIPLE SSS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000670 PR Practitioner - Podiatry 7810166683 Practice locations: Dorado, PR; Toa Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 Calle Mendez Vigo
Suite 202
Dorado, PR 00646-4801
Phone (787) 374-7339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue774
Removal or shaving of skin growth157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0041PRMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Transnerve Medical Services,Corp Podiatrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1306856372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. JOSE VILLARES ESQ. CORCHADO B-5",
            "address_2": "URB PARADISE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00672",
            "telephone_number": "787-862-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. JOSE VILLARES ESQ. CORCHADO B-5",
            "address_2": "URB. PARADISE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-862-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ROSARIO",
        "first_name": "NITIDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "0041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIGAP REFORMA",
            "identifier": "48054",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "48054",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOISE",
            "identifier": "50226",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "825758",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PUERTO RICO",
            "identifier": "6740101",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIGAP TRIPLE SSS",
            "identifier": "48054",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.