Individual provider Active NPI

Miguel Dario De la Cruz, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1457407249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11222 Issued in PR
Practice address
Calle Santa Cruz #73
Edificio Medico Santa Cruz Oficina 213
Bayamon, PR 00956
Phone
(787) 786-3000
Fax
(787) 798-6865
NPI assigned
Jan 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11222 PR Primary

Addresses

Primary practice location

Calle Santa Cruz #73
Edificio Medico Santa Cruz Oficina 213
Bayamon, PR 00956

Mailing address

Aa18 Camino Panoramico
Altavilla, Encantada
Trujillo Alto, PR 00976-6088
Phone (787) 760-5573

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
I20050730000122 PR Practitioner - Internal Medicine 3375571490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B1 Calle Santa Cruz
Bayamon, PR 00961-6928
Phone (787) 479-2776

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MDC Internal Medicine PSC Internal Medicine CurrentSince Jun 21, 2014 Accepting new patients

Locations

B1 Calle Santa Cruz
Ste 201
Bayamon, PR 00961
Phone (787) 294-9955

Organizations & group practices 1

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457407249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AA18 CAMINO PANORAMICO",
            "address_2": "ALTAVILLA, ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766088",
            "telephone_number": "787-760-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA CRUZ #73",
            "address_2": "EDIFICIO MEDICO SANTA CRUZ OFICINA 213",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-786-3000",
            "fax_number": "787-798-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "MIGUEL",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.