Juan De la Cruz, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3860 Issued in PR

Practice address

Carr 2 KM. 39.5
Bo. Algarrobo Suite 110
Vega Baja, PR 00693-0000

Phone

(787) 858-1580

Fax

(787) 807-2930

NPI assigned

Aug 22, 2006

Last updated

May 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

General Surgery

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audubon Primary Care Medicine PLLCGroup PAC ID 5890920656, 6 clinicians

181St Street Medical PCGroup PAC ID 8022242130, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• 181St Street Medical P.C.

  dba 181st Street Urgent Care Center

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1922345768
  Medicare reassignment Care Compare group NPD
• Audubon Primary Care Medicine PLLC

  • Family Medicine Physician
  • New York, NY
  • NPI 1851736441
  Medicare reassignment Care Compare group NPD
• Endosurgical MD PA

  • General Practice Physician
  • Passaic, NJ
  • NPI 1417089335

  Surgery

  NPD Authorized official
• Hudson River Radiology Center LLC

  • Mammography Clinic/Center
  • Union City, NJ
  • NPI 1710350798
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1467568311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941554",
            "telephone_number": "787-454-7690",
            "fax_number": "787-807-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM. 39.5",
            "address_2": "BO. ALGARROBO SUITE 110",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-858-1580",
            "fax_number": "787-807-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "3860",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "3860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4011902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Davila - Ortiz, LND
• Emanuel Davila-Collazo
• Alex Amir Davila, MD
• Karinellie Davila
• DC Health Care LLC
• Juan Angel De la Rosa, M.D.
• Jose Francisco De Leon, M.D.
• Del Mar Health LLC (Del Mar Infusion)
• Del Mar Health LLC
• Edgardo Del Pozo Gomez, MD

• Surgery Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.