Individual provider Active NPI

Veronica Rodriguez de la Cruz, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1457339533
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
6203 Issued in PR
Practice address
550 Sergio Cuevas Bustamante
Hospital del Maestro
San Juan, PR 00918
Phone
(787) 758-8383
Fax
(787) 753-4517
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 6203 PR Primary

Addresses

Primary practice location

550 Sergio Cuevas Bustamante
Hospital del Maestro
San Juan, PR 00918

Mailing address

Floral Park
433 Padre Berrios
San Juan, PR 00917-3427
Phone (787) 758-8383

Other identifiers 1

IdentifierTypeStateIssuer
0098170OtherPRTRIPLE S IDENTIFIER

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
I20090723000674 PR Practitioner - Physical Medicine and Rehabilitation 1759433626 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Hospital Universitario de Adultos
Bo. Monacillos Centro Medico de PR
Rio Piedras, PR 00935
Phone 78775825251766

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Sep 1, 1997 Accepting new patients
Recinto de Ciencias Medicas Physical Medicine & Rehabilitation CurrentSince Sep 1, 1997 Accepting new patients

Locations

Hospital Universitario De Adultos
San Juan, PR 00935
Phone 78775401013660

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1457339533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FLORAL PARK",
            "address_2": "433 PADRE BERRIOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173427",
            "telephone_number": "787-758-8383",
            "fax_number": "787-753-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SERGIO CUEVAS BUSTAMANTE",
            "address_2": "HOSPITAL DEL MAESTRO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-8383",
            "fax_number": "787-753-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ DE LA CRUZ",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "6203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S IDENTIFIER",
            "identifier": "0098170",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.