Organization Active NPI

Quebradillas Health Group Inc.

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1356175996
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
QUEBRADILLAS HEALTH GROUP INC.
Practice address
Carr 2 KM 96.8 Bo Cocos
Quebradillas, PR 00678-9326
Phone
(787) 420-2090
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Juan Carlos Cruz Cruz, MD
Title
Administrator
Phone
(787) 420-2090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr 2 KM 96.8 Bo Cocos
Quebradillas, PR 00678-9326

Mailing address

42818 Carr 482
Quebradillas, PR 00678-9326
Phone (787) 420-2090

Other names 1

  • Quebradillas Health Group INC. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1356175996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42818 CARR 482",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789326",
            "telephone_number": "787-420-2090",
            "fax_number": "787-500-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 96.8 BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789326",
            "telephone_number": "787-420-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEBRADILLAS HEALTH GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ CRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-420-2090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quebradillas Health Group INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Quebradillas Health Group INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.