Individual provider Active NPI

Angelita Alonzo de la Cruz, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1619192812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11473 Issued in PR
Practice address
MK6 Plaza 44
Urbanizacion Monte Claro
Bayamon, PR 00961-4787
Phone
(787) 649-0940
Fax
(787) 780-7168
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11473 PR Primary

Addresses

Primary practice location

MK6 Plaza 44
Urbanizacion Monte Claro
Bayamon, PR 00961-4787

Mailing address

MK6 Plaza 44
Urbanizacion Monte Claro
Bayamon, PR 00961-4787
Phone (787) 649-0940

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11473PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619192812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MK6 PLAZA 44",
            "address_2": "URBANIZACION MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614787",
            "telephone_number": "787-649-0940",
            "fax_number": "787-780-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MK6 PLAZA 44",
            "address_2": "URBANIZACION MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614787",
            "telephone_number": "787-649-0940",
            "fax_number": "787-780-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONZO DE LA CRUZ",
        "first_name": "ANGELITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11473",
            "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.

Verify at the official NPI Registry.