Individual provider Active NPI

Nivia Esther Cruz-Ortiz, M.D.

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1447363130
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4705 Issued in PR
Practice address
Cond. Torre de Auxlio Mutuo Ofic. 712
735 Ponce de Leon
San Juan, PR 00917
Phone
(787) 773-8040
Fax
(787) 773-8041
NPI assigned
Aug 16, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4705 PR Primary

Addresses

Primary practice location

Cond. Torre de Auxlio Mutuo Ofic. 712
735 Ponce de Leon
San Juan, PR 00917

Mailing address

RR #3 Box 3875 19 Camino Real
Beverly Hills
San Juan, PR 00926-9613
Phone (787) 396-5360

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
I20050117000266 PR Practitioner - Nephrology 8628027687 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Puerto Rico School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918-1000
Phone (787) 771-7934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
66.19
Improvement activities
40
Cost
73.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4705PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Grupo Ginecologia Hospital Municipal SJ Past Accepting new patients
Grupo Medicina Interna HMSJ Nephrology Past Accepting new patients
Grupo Nefrologia Adulto HMSJ Nephrology Past Accepting new patients

Locations

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1447363130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR #3 BOX 3875 19 CAMINO REAL",
            "address_2": "BEVERLY HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269613",
            "telephone_number": "787-396-5360",
            "fax_number": "787-773-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. TORRE DE AUXLIO MUTUO OFIC. 712",
            "address_2": "735 PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-773-8040",
            "fax_number": "787-773-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ORTIZ",
        "first_name": "NIVIA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.