Individual provider Active NPI

Javier Alberto Cruz Saavedra, DMD

  • Dentist
  • Carolina, PR
National Provider Identifier
1528875309
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3520 Issued in PR
Practice address
130 Palacios del Escorial
Carolina, PR 00987
Phone
(787) 452-3736
NPI assigned
Dec 16, 2024
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3520 PR Primary

Addresses

Primary practice location

130 Palacios del Escorial
Carolina, PR 00987

Mailing address

2915 Sidney St Apt 530
Pittsburgh, PA 15203-3308
Phone (787) 718-3214

Other practice location 1

3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (787) 718-3214

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205000822 PR Order and Referring Only - DentistPractitioner - Dentist 1850884016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3520PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Dental LLC Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1528875309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 SIDNEY ST APT 530",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152033308",
            "telephone_number": "787-718-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PALACIOS DEL ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-452-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Terrace St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132523",
            "country_code": "US",
            "telephone_number": "787-718-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ SAAVEDRA",
        "first_name": "JAVIER",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.