Individual provider Active NPI

Jose Ramon Cruz, M.D.

  • Gynecology Physician
  • Caguas, PR
National Provider Identifier
1568490696
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
13080 Issued in PR
Practice address
Ave. Munoz Rivera Num. A1 Suite 303
Centro Ambulatorio Hima San Pablo Caguas
Caguas, PR 00725
Phone
(787) 704-3434
Fax
(787) 961-4546
NPI assigned
Jun 29, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 13080 PR
Gynecology Physician 207VG0400X 13080 PR Primary

Addresses

Primary practice location

Ave. Munoz Rivera Num. A1 Suite 303
Centro Ambulatorio Hima San Pablo Caguas
Caguas, PR 00725

Mailing address

Ave. Munoz Rivera Num. A1 Suite 303
Centro Ambulatorio Hima San Pablo Caguas
Caguas, PR 00725
Phone (787) 704-3434

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
I20130708000143 PR Practitioner - Obstetrics/Gynecology 3173763620 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince May 26, 2013 Accepting new patients
Recinto de Ciencias Medicas Gynecology CurrentSince May 26, 2013 Accepting new patients

Locations

Hospital Universitario De Adultos
San Juan, PR 00935
Phone 78775401013660

Organizations & group practices 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1568490696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. MUNOZ RIVERA NUM. A1 SUITE 303",
            "address_2": "CENTRO AMBULATORIO HIMA SAN PABLO CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-3434",
            "fax_number": "787-961-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MUNOZ RIVERA NUM. A1 SUITE 303",
            "address_2": "CENTRO AMBULATORIO HIMA SAN PABLO CAGUAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-3434",
            "fax_number": "787-961-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PR",
            "license": "13080",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "13080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.