Pedro J. Cruz-Quiles, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16887 Issued in PR

Practice address

3106 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614

Phone

(787) 872-5042

NPI assigned

Sep 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• G&C Health Group P.S.C

  • Primary Care Clinic/Center
  • Isabela, PR
  • NPI 1538301387

  PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1669668570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621747",
            "telephone_number": "787-872-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 AVE JUAN HERNANDEZ ORTIZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623614",
            "telephone_number": "787-872-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-QUILES",
        "first_name": "PEDRO",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16887",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cruz Quiles Health Services P. S. C.
• Kelvin D Cruz Roman
• Shirley Cruz Romero, PSYD
• Solangel Cruz Valle
• Shayra Liz Cruz Vazquez
• Albert Andres Cruz
• Janitza Enid Cruz
• Luis Giovani Custodio-Rodriguez, M.D
• CVDP Health Management LLC
• Saallahheim Ra Davis, D.C.

• All providers in Isabela, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.

Verify at the official NPI Registry.