Active NPI
Nicolas A. Cruz Dardiz, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 19963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39209102 | Medicaid | PR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCD Endocrinology LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Ammvr Group, Inc | Past | Accepting new patients | |
| Emanuelli Research & Development Center | Past | 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.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1053139303
Endocrinology, Diabetes & Metabolism
-
- Research Study Specialist
- Arecibo, PR
- NPI 1881184273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.