Individual provider Active NPI

Wanda Luz Figueroa- Cruz, M.D.

  • Internal Medicine Physician
  • Luke Afb, AZ
National Provider Identifier
1447269550
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8027 Issued in PR
Practice address
7219 N Litchfield Rd
Luke Afb, AZ 85309-1529
Phone
(623) 856-2274
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8027 PR Primary

Addresses

Primary practice location

7219 N Litchfield Rd
Luke Afb, AZ 85309-1529

Mailing address

243 Calle Paris PMB 1863
San Juan, PR 00917-3632
Phone (787) 759-6909

Other practice location 1

200 Calle Juan P Duarte
San Juan, PR 00917-3602
Phone (787) 759-6909

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
I20070116000049 PR Practitioner - Internal Medicine 9436158896 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8027PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1447269550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CALLE PARIS PMB 1863",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173632",
            "telephone_number": "787-759-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Calle Juan P Duarte",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009173602",
            "country_code": "US",
            "telephone_number": "787-759-6909",
            "fax_number": "787-766-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIGUEROA- CRUZ",
        "first_name": "WANDA",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luke Afb, AZ

Sources for this page

Verify at the official NPI Registry.