Ajc Surgical Health PSC
Organization Active NPI Surgery Physician · Manati, PR
NPI 1447670682 · NPPES record last updated Apr 25, 2014
Key facts
- NPI
- 1447670682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 15946 (PR)
- Legal business name
- AJC SURGICAL HEALTH PSC
- Practice address
- MMC Professional Plaza
Suite 201
Manati, PR 00674 - Phone
- (787) 921-2777
- NPI assigned
- Apr 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Armando Javier Cruzado, M.D.
- Title
- President/Ceo
- Phone
- (787) 587-3731
Practitioners 1
-
Armando Javier Cruzado, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140725001747 | PR | Part B Supplier - Clinic/Group Practice | 0446476543 |
Receives reassigned benefits from 1 practitioner Practice locations: Manati, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 15946 | PR | Yes |
Addresses
Primary practice location
MMC Professional Plaza
Suite 201
Manati, PR 00674
Mailing address
1420 Calle Marbella
Mansiones Vistamar Marina
Carolina, PR 00983-1591
Phone (787) 587-3731
Other providers in Manati, PR
- Advance Rehabilitation Center Inc
- Agm-Ge,LLC
- Andrea Agosto
- Lymarie I Aguila Gonzalez
- Kevin Aguila Guzman
- Luma Al-Attar
- Yadiel Alexis Alameda - Rios
- Alatteo Plus Health LLC
- Hector Albarran
- Pedro Alberto Albelo Rivera
All providers in Manati, PR · Surgery Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.