Ileana Albino Cruz, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9955 Issued in PR

Practice address

1803 Calle Kennedy
San Antonio, PR 00690-1210

Phone

(787) 890-1674

Fax

(787) 890-0335

NPI assigned

Oct 21, 2005

Last updated

Sep 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ileana Albino Cruz Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Policlinica Ileanmarie PSC

  • General Practice Physician
  • San Antonio, PR
  • NPI 1104059062
  NPD (past) Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1487644407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761688",
            "telephone_number": "787-890-1674",
            "fax_number": "787-890-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CALLE KENNEDY",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006901210",
            "telephone_number": "787-890-1674",
            "fax_number": "787-890-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBINO CRUZ",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PR",
            "license": "9955",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILEANA",
            "last_name": "ALBINO CRUZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gamil J Abdulrahman, DMD
• Evelyn Alvarez, PSICOLOGA
• Bajalu, LLC
• Javier Burgos Medina
• Yasmin Burgos
• Clinica Terapeuta Dra Valentin LLC

• General Practice Physician in San Antonio, PR
• Providers in San Antonio, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.