Individual provider Active NPI

Fernando A. Garcia-Cruz, M.D.

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1316041809
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9800 Issued in PR
Practice address
77 Bo. Cotto
Urb. Felix Cordova Davila
Manati, PR 00674
Phone
(787) 884-4700
Fax
(787) 884-9719
NPI assigned
Sep 12, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 9800 PR Primary

Addresses

Primary practice location

77 Bo. Cotto
Urb. Felix Cordova Davila
Manati, PR 00674

Mailing address

PO Box 4317
Vega Baja, PR 00694-4317
Phone (787) 855-0747

Other practice location 1

3 Calle Luis Munoz Rivera
Vega Alta, PR 00692-0069
Phone (787) 883-0124

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
I20100423000305 PR Practitioner - Family Practice 2163485392 Reassigns benefits to 3 organizations
Practice locations: Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Calle Luis Munoz Rivera
Suite 3
Vega Alta, PR 00692
Phone (787) 883-7645

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Primaria VA General Practice CurrentSince Nov 27, 2017 Accepting new patients
Centro Medicina Primaria Vega Alta General Practice CurrentSince Nov 27, 2017 Accepting new patients
MSN Transport Inc Past Accepting new patients
MSN Ambulance Inc PastSince Mar 29, 2018 Accepting new patients
Elite Medical Alliance LLC Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316041809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4317",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944317",
            "telephone_number": "787-855-0747",
            "fax_number": "787-883-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BO. COTTO",
            "address_2": "URB. FELIX CORDOVA DAVILA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-4700",
            "fax_number": "787-884-9719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Calle Luis Munoz Rivera",
            "address_purpose": "LOCATION",
            "city": "Vega Alta",
            "state": "PR",
            "postal_code": "006920069",
            "country_code": "US",
            "telephone_number": "787-883-0124",
            "fax_number": "787-883-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA-CRUZ",
        "first_name": "FERNANDO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.