Carmen Liliana Cruz, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

8791 Issued in PR

Practice address

Plaza Carolina Mall
Tercer Nivel Ste 10
Carolina, PR 00988

Phone

(787) 750-2620

Fax

(787) 750-7730

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Carmen Liliana Cruz de Taboas Other name

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

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420848000000",
    "number": "1366420960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 2 PASEO ALTO 46",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265918",
            "telephone_number": "787-768-0570",
            "fax_number": "787-750-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA CAROLINA MALL",
            "address_2": "TERCER NIVEL STE 10",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00988",
            "telephone_number": "787-750-2620",
            "fax_number": "787-750-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARMEN",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2015-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "8791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PR",
            "identifier": "8791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "CRUZ DE TABOAS",
            "middle_name": "LILIANA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alma M Cruz Santana, MD
• Yasnaya Cruz Santiago, FNP
• Carla Nicole Cruz-Diaz
• Alicia Cruz-Garcia, PT
• Brenda Cruz, PHARM.D.
• Carmencita Cruz
• Jailyn Cruz, MD
• Jonathan Jabiel Cruz
• Olga A Cruz, M.D.
• Sofia Cruz, RPH

• Dermatology Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.