Individual provider Active NPI

Iris M Cruz Navarro, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1376788281
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17914 Issued in PR
Practice address
Center Medical
Hosp Oncologico Dr. Isaac Gonzalez Martinez
San Juan, PR 00919-1811
Phone
(787) 763-4149
NPI assigned
Dec 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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 17914 PR Primary

Addresses

Primary practice location

Center Medical
Hosp Oncologico Dr. Isaac Gonzalez Martinez
San Juan, PR 00919-1811

Mailing address

Medical Center PO 191811
Hosp Oncologico Dr. Isaac Gonzalez Martinez
San Juan, PR 00919-1811
Phone (787) 763-4149

Other names 1

  • Iris M Cruz Navarro Former name

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
I20151124002182 PR Practitioner - General Practice 5496055444 Practice locations: Canovanas, PR; San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17914PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1376788281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER PO 191811",
            "address_2": "HOSP ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191811",
            "telephone_number": "787-763-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER MEDICAL",
            "address_2": "HOSP ONCOLOGICO DR. ISAAC GONZALEZ MARTINEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191811",
            "telephone_number": "787-763-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ NAVARRO",
        "first_name": "IRIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "CRUZ NAVARRO",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.