Active NPI
Itzia Erazo-Cruz, DENTAL ASSISTANT
- Dental Assistant
- Bayamon, PR
National Provider Identifier
1508985383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 2838
- Practice address
- Rossy Y Parque St Terminal Tomas Kuilan
Bayamon, PR 00960-0000 - Phone
- (787) 780-7288
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 2838 | PR | Primary |
Addresses
Primary practice location
Rossy Y Parque St Terminal Tomas Kuilan
Bayamon, PR 00960-0000
Mailing address
PO Box 9501
Bayamon, PR 00960-9501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2838 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508985383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9501",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009609501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROSSY Y PARQUE ST TERMINAL TOMAS KUILAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009600000",
"telephone_number": "787-780-7288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERAZO-CRUZ",
"first_name": "ITZIA",
"name_prefix": "Mrs.",
"credential": "DENTAL ASSISTANT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "PR",
"license": "2838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.