Individual provider Active NPI

Nicolas A. Cruz Dardiz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1619351103
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19963 Issued in PR
Practice address
Torre Medica Suite 215
Carr 21 Num 1785 Ave Las Lomas #21
San Juan, PR 00922-0000
Phone
(787) 639-5353
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19963 PR Primary

Addresses

Primary practice location

Torre Medica Suite 215
Carr 21 Num 1785 Ave Las Lomas #21
San Juan, PR 00922-0000

Mailing address

PO Box 361513
San Juan, PR 00936-1513
Phone (787) 639-5353

Other practice location 1

CALLE GARCIA 8 y 9
Urb. Santa Cruz
Bayamon, PR 00957-0000
Phone (787) 230-7530

Other practice location 2

113 Calle Rodrigo de Triana
San Juan, PR 00918-0000
Phone (787) 230-7530

Other practice location 3

Carr 167 Ad-10 Marginal
Urb. Bella Vista
Bayamon, PR 00957-0000
Phone (787) 230-7530

Other identifiers 1

IdentifierTypeStateIssuer
39209102MedicaidPR

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
I20210510002010 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 4385053073 Reassigns benefits to 1 organization
Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Del Norte Professional Ctr
30 Carr 493 KM 0.9 Bo Carrizales
Hatillo, PR 00659
Phone (787) 956-0990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NCD Endocrinology LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 8, 2025 Accepting new patients
Ammvr Group, Inc Past Accepting new patients
Emanuelli Research & Development Center PastSince Jul 1, 2021 Accepting new patients

Locations

113 Calle Rodrigo de Triana
San Juan, PR 00918
Phone (787) 282-2680

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1619351103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361513",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361513",
            "telephone_number": "787-639-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SUITE 215",
            "address_2": "CARR 21 NUM 1785 AVE LAS LOMAS #21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220000",
            "telephone_number": "787-639-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE GARCIA 8 y 9",
            "address_2": "URB. SANTA CRUZ",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009570000",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 CALLE RODRIGO DE TRIANA",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180000",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CARR 167 AD-10 MARGINAL",
            "address_2": "URB. BELLA VISTA",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009570000",
            "country_code": "US",
            "telephone_number": "787-230-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ DARDIZ",
        "first_name": "NICOLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39209102",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.