Fidel Joel Rodriguez Cruz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

733 Issued in PR

Practice address

Carr 3 KM 19.9
Edif East Medical Professional Center
Canovanas, PR 00729

Phone

(787) 256-6060

NPI assigned

Sep 19, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pauling Firm Inc

  • Optometrist
  • Canovanas, PR
  • NPI 1518442045
  Medicare reassignment NPD Authorized official
• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1427208024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CALLE CORAL, COND LAGO PLAYA",
            "address_2": "APTO 3012, LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-256-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 19.9",
            "address_2": "EDIF EAST MEDICAL PROFESSIONAL CENTER",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-256-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Calle Victoria Carr 908",
            "address_2": "Bo Tejas",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "00791",
            "country_code": "US",
            "telephone_number": "787-689-1682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ CRUZ",
        "first_name": "FIDEL",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "598",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro J Rivera, LPN
• Stephanie Marie Rivera
• Monica Aniliz Rivero Ortiz, PHARMD
• Francisco Javier Robles, PA
• Nelsa Rodriguez Cespedes, MD
• Karina Ivonne Rodriguez Gonzalez, MD
• Noeimee Rodriguez Rivera
• Sandra Raquel Rodriguez Rosario, M.D.
• Alexandra Rodriguez Ruiz, MD
• Hector C. Rodriguez-Phipps, MD

• Optometrist in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.