Ernesto Luis Cruz Sr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6134 Issued in PR

Practice address

Carretbra #2 Ave
Hostos 440
Mayaguez, PR 00680

Phone

(787) 833-7383

Fax

(787) 833-7383

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Camuy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camuy, PR
  • NPI 1437105582

  PR

  Medicare reassignment NPD
• Camuy Health Services, Inc.

  • Clinical Medical Laboratory
  • Camuy, PR
  • NPI 1275612780
  NPD

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619001252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 418",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00037",
            "telephone_number": "787-374-3483",
            "fax_number": "787-833-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETBRA #2 AVE",
            "address_2": "HOSTOS 440",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-7383",
            "fax_number": "787-833-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ERNESTO",
        "middle_name": "LUIS",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "6134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Ivan Cruz, DMD
• Celines Cruz
• Edith Cruz, PRACTICAL NURSE
• Emile Yariz Cruz, M.S. SP
• Erick Gustavo Cruz, M.D.
• Maria Victoria Cruz, PHARM D
• Miguel Cruz, PH.D.
• Nilda Milagros Cruz, NURSE
• Ricardo Cruz, R.PH.
• Sonia Cruz, MEDICINE DOCTOR

• All providers in Mayaguez, PR
• Emergency Medicine Physician in Puerto Rico

• 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.
• 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.