Active NPI
Vanessa Cruz Cruz
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1700359783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21816
- Practice address
- Carr 111 KM 2.3
Bo Palmar Int
Aguadilla, PR 00603 - Phone
- (939) 230-0468
- Fax
- (787) 818-0300
- NPI assigned
- Jan 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21816 | PR | Primary |
Addresses
Primary practice location
Carr 111 KM 2.3
Bo Palmar Int
Aguadilla, PR 00603
Mailing address
PO Box 547
Moca, PR 00676-0547
Phone (787) 528-9228
Other practice location 1
Calle Concepcion Vera Ayala
Carrt 100 KM. 2.2
Moca, PR 00676
Phone (787) 877-8000
Other practice location 2
18 Ave Severiano Cuevas Carr 2 Km 141.1
Bo Caimital Alto
Aguadilla, PR 00603
Phone (787) 658-0000
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200925001783 | PR | Practitioner - General Practice | 4880012202 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1700359783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "MOCA",
"state": "PR",
"postal_code": "006760547",
"telephone_number": "787-528-9228",
"fax_number": "787-818-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 111 KM 2.3",
"address_2": "BO PALMAR INT",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "939-230-0468",
"fax_number": "787-818-0300"
}
],
"practiceLocations": [
{
"address_1": "CALLE CONCEPCION VERA AYALA",
"address_2": "CARRT 100 KM. 2.2",
"address_purpose": "LOCATION",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"country_code": "US",
"telephone_number": "787-877-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 Ave Severiano Cuevas Carr 2 Km 141.1",
"address_2": "Bo Caimital Alto",
"address_purpose": "LOCATION",
"city": "Aguadilla",
"state": "PR",
"postal_code": "00603",
"country_code": "US",
"telephone_number": "787-658-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ CRUZ",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.