Individual provider Active NPI

David Reyes Cruz, M.D.

  • General Practice Physician
  • Fajardo, PR
National Provider Identifier
1366451239
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10869 Issued in PR
Practice address
5A1 Calle 5-1
Monte Brisas 5Ta Ext
Fajardo, PR 00738-3111
Phone
(787) 863-6116
Fax
(787) 863-1151
NPI assigned
Aug 7, 2006
Last updated
Feb 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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 10869 PR Primary

Addresses

Primary practice location

5A1 Calle 5-1
Monte Brisas 5Ta Ext
Fajardo, PR 00738-3111

Mailing address

PO Box 1582
Fajardo, PR 00738-1582
Phone (787) 863-6116

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
I20110623000565 PR Practitioner - General Practice 3577741461 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 A1
Suite 1
Fajardo, PR 00738-3111
Phone (787) 863-6116

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1366451239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1582",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381582",
            "telephone_number": "787-863-6116",
            "fax_number": "787-863-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A1 CALLE 5-1",
            "address_2": "MONTE BRISAS 5TA EXT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383111",
            "telephone_number": "787-863-6116",
            "fax_number": "787-863-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES CRUZ",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.