Active NPI
Corey Cruz, FNP
- Family Nurse Practitioner
- San Juan, PR
National Provider Identifier
1386299634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002209
- Practice address
- 100 Calle del Muelle
Suit 3703
San Juan, PR 00901 - Phone
- (919) 744-7392
- NPI assigned
- Aug 5, 2019
- Last updated
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 002209 | PR | Primary |
Addresses
Primary practice location
100 Calle del Muelle
Suit 3703
San Juan, PR 00901
Mailing address
100 Calle del Muelle
Suit 3703
San Juan, PR 00901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002209 | PR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1386299634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CALLE DEL MUELLE",
"address_2": "SUIT 3703",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CALLE DEL MUELLE",
"address_2": "SUIT 3703",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00901",
"telephone_number": "919-744-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "COREY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "002209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.