Individual provider Active NPI

Leisa Velez-Cruz, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1447824198
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23021 Issued in PR
Practice address
Avenida Severiano Cuevas #18
KM. 141.1 Bo. Caimital Bajo
Aguadilla, PR 00603
Phone
(787) 658-0000
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 23021 PR Primary

Addresses

Primary practice location

Avenida Severiano Cuevas #18
KM. 141.1 Bo. Caimital Bajo
Aguadilla, PR 00603

Mailing address

234 Enrique a. Laguerre
Sector Cachichuela
Isabela, PR 00662
Phone (787) 951-4669

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
I20230628000778 PR Practitioner - General Practice 6901264654 Reassigns benefits to 1 organization
Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Avenida Dr Susoni
Suite 121
Hatillo, PR 00659
Phone 7878984190406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23021PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo General Practice CurrentSince Jun 1, 2023 Accepting new patients
Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients

Locations

121 Ave Dr Susoni
Hatillo, PR 00659
Phone (787) 314-5291

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1447824198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ENRIQUE A. LAGUERRE",
            "address_2": "SECTOR CACHICHUELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-951-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA SEVERIANO CUEVAS #18",
            "address_2": "KM. 141.1 BO. CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ-CRUZ",
        "first_name": "LEISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.