Individual provider Active NPI

Jose M Encarnacion-Cruz, MD

  • Rheumatology Physician
  • Levittown, PR
National Provider Identifier
1467567503
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
13036 Issued in PR
Practice address
Ha2 Calle Antonio Paoli
Septima Seccion
Levittown, PR 00949
Phone
(787) 784-4068
Fax
(787) 784-4069
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ha 2 Ave Antonio Paoli 7Ma Seccion
Levittown, PR 00949
Phone (787) 784-4068

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
I20120924000722 PR Practitioner - Rheumatology 4082870647 Reassigns benefits to 1 organization
Practice locations: Levittown, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13036PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud Inc CurrentSince Jan 26, 2018 Accepting new patients
Centro de Servicios Primarios de Salud,Inc. CurrentSince Jan 26, 2018 Accepting new patients
Centro de Servicios Primarios de Salud,Inc. Current Accepting new patients

Locations

3 Calle Antonio Alcazar
Florida, PR 00650
Phone (787) 822-2170

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13036 PR
Rheumatology Physician 207RR0500X 13036 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Ha2 Calle Antonio Paoli
Septima Seccion
Levittown, PR 00949

Mailing address

PO Box 51396
Toa Baja, PR 00950-1396
Phone (787) 261-1027

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2011.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1467567503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51396",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501396",
            "telephone_number": "787-261-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HA2 CALLE ANTONIO PAOLI",
            "address_2": "SEPTIMA SECCION",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-4068",
            "fax_number": "787-784-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION-CRUZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "13036",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "13036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PR

Sources for this page

Verify at the official NPI Registry.