Individual provider Active NPI

Yaniris Garcia Cruz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Cabo Rojo, PR
National Provider Identifier
1639527336
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21284 Issued in PR
Practice address
KM 7.1, Cabo Rojo Town Center
Carr. 100, Suite #6
Cabo Rojo, PR 00623
Phone
(787) 295-2665
NPI assigned
Jun 3, 2016
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21284 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21284 PR Primary

Addresses

Primary practice location

KM 7.1, Cabo Rojo Town Center
Carr. 100, Suite #6
Cabo Rojo, PR 00623

Mailing address

PO Box 607
Sabana Seca, PR 00952
Phone (787) 295-2665

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
I20220707000673 PR Practitioner - Internal Medicine 4587044664 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Centro Medico
Bo Monacillos
San Juan, PR 00926
Phone (939) 274-2364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21284PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Endocrinologia del Oeste Endocrinology, Diabetes & Metabolism CurrentSince Jul 31, 2023 Accepting new patients
Municipality of San Juan PR Past Accepting new patients

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1639527336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-295-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 7.1, CABO ROJO TOWN CENTER",
            "address_2": "CARR. 100, SUITE #6",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-295-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CRUZ",
        "first_name": "YANIRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21284",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.