Individual provider Active NPI

Brendaliz Santaella Cruz, M.D.

  • General Practice Physician
  • Barranquitas, PR
National Provider Identifier
1407081854
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17568 Issued in PR
Practice address
Carretera 719 KM 2.6 Bo. Helechal
Barranquitas, PR 00794-0000
Phone
(787) 400-4325
NPI assigned
May 28, 2009
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 17568 PR Primary

Addresses

Primary practice location

Carretera 719 KM 2.6 Bo. Helechal
Barranquitas, PR 00794-0000

Mailing address

PO Box 956
Barranquitas, PR 00794-0956
Phone (787) 325-8834

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
I20150707001195 PR Practitioner - General Practice 2062724958 Practice locations: Barranquitas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17568PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1407081854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940956",
            "telephone_number": "787-325-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 719 KM 2.6 BO. HELECHAL",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940000",
            "telephone_number": "787-400-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAELLA CRUZ",
        "first_name": "BRENDALIZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

Verify at the official NPI Registry.