Individual provider Active NPI

Sigdan Gabriel Cruz Rios, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1710551569
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22523 Issued in PR
Practice address
C-28 Calle 1 Panorama Estate
Bayamon, PR 00956
Phone
(787) 507-7051
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 15419I PR
General Practice Physician 208D00000X 22523 PR Primary

Addresses

Primary practice location

C-28 Calle 1 Panorama Estate
Bayamon, PR 00956

Mailing address

C-28 Calle 1 Panorama Estate
Bayamon, PR 00956
Phone (787) 507-7051

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
I20211112001278 PR Practitioner - General Practice 2769871755 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15419IPRMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Los Santos Clinic, LLC CurrentSince May 1, 2024 Accepting new patients
Villa Los Santos Clinic, LLC General Practice CurrentSince May 1, 2024 Accepting new patients
Servicios de Salud del Norte General Practice CurrentSince Sep 1, 2021 Accepting new patients
Laboratorio Clinico Villa Los Santos Current Accepting new patients

Locations

V1 Calle 16
Arecibo, PR 00612
Phone (787) 817-3144

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1710551569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C-28 CALLE 1 PANORAMA ESTATE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-507-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C-28 CALLE 1 PANORAMA ESTATE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-507-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RIOS",
        "first_name": "SIGDAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "15419I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.