Active NPI
Alexandra Marie Cruz Pabon
- Student in an Organized Health Care Education/Training Program
- Mayaguez, PR
National Provider Identifier
1386301034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 2655
- Practice address
- 175 Ave Algarrobo
Mayaguez, PR 00682-6331 - Phone
- (787) 834-6900
- NPI assigned
- Nov 17, 2021
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2655 | PR | Primary |
Addresses
Primary practice location
175 Ave Algarrobo
Mayaguez, PR 00682-6331
Mailing address
402 Villa Fontana
Bo Miradero
Mayaguez, PR 00682
Phone (939) 429-4189
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 |
|---|---|---|---|
| 2655 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1386301034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 VILLA FONTANA",
"address_2": "BO MIRADERO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00682",
"telephone_number": "939-429-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 AVE ALGARROBO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826331",
"telephone_number": "787-834-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ PABON",
"first_name": "ALEXANDRA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "2655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.