Individual provider Active NPI

Oriana Heredia Cruz, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1336923788
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23444 Issued in PR
Practice address
6501 Carr 844 Apt 908
San Juan, PR 00926-7828
Phone
(787) 214-8200
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 23444 PR Primary

Addresses

Primary practice location

6501 Carr 844 Apt 908
San Juan, PR 00926-7828

Mailing address

6501 Carr 844 Apt 908
San Juan, PR 00926-7828
Phone (787) 214-8200

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
I20240225000107 PR Practitioner - General Practice 6103261680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Avenida Rafael Cordero Esquina Troche
Caguas, PR 00726
Phone 7877450340260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23444PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Feb 25, 2025 Accepting new patients
Professional Medical Center, LLC CurrentSince Feb 14, 2024 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc CurrentSince Feb 25, 2025 Accepting new patients
Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. General Practice Current Accepting new patients
JC Professional Medical Services, PSC General Practice PastSince Sep 1, 2024 Accepting new patients

Organizations & group practices 5

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1336923788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CARR 844 APT 908",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267828",
            "telephone_number": "787-214-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 CARR 844 APT 908",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267828",
            "telephone_number": "787-214-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA CRUZ",
        "first_name": "ORIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.