Organization Active NPI

Cruz de la Cruz Prosthodontics LLC

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1679379390
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
CRUZ DE LA CRUZ PROSTHODONTICS LLC
Practice address
1018 Ave Ashford Ste 201
San Juan, PR 00907-1137
Phone
(787) 998-7778
NPI assigned
Feb 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Angel Damian Cruz de la Cruz, DMDNPI 1851952014
Title
Prosthodontist
Phone
(787) 998-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

1018 Ave Ashford Ste 201
San Juan, PR 00907-1137

Mailing address

Urb Monte Oro
1 Camino El Mudo Apt 21
San Juan, PR 00926

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1679379390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MONTE ORO",
            "address_2": "1 CAMINO EL MUDO APT 21",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 AVE ASHFORD STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071137",
            "telephone_number": "787-998-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZ DE LA CRUZ PROSTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-22",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ DE LA CRUZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "DAMIAN",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "787-998-7778",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 25, 2026; 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.