Individual provider Active NPI

Manuel A. Cruz, M.D.

  • Nephrology Physician
  • Manati, PR
National Provider Identifier
1720132988
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
5004 Issued in PR
Practice address
Urb Atenas Hernandez Carrion
Manati, PR 00674
Phone
(787) 854-4120
Fax
(787) 884-5489
NPI assigned
Jan 23, 2007
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 5004 PR Primary

Addresses

Primary practice location

Urb Atenas Hernandez Carrion
Manati, PR 00674

Mailing address

PO Box 1662
Manati, PR 00674-1662
Phone (787) 854-4120

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
I20071228000093 PR Practitioner - NephrologyPractitioner - Internal Medicine 4688584550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nefrologia CSPGroup PAC ID 6204137920, 2 clinicians

Practice addresses (Care Compare)

Manati Professional Plaza
Suite 411
Manati, PR 00674
Phone (787) 854-4120

PO Box
Manati, PR 00674

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5004PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nefrologia CSP CurrentSince Oct 10, 2015 Accepting new patients
Cruz Soto & Padilla, Nefrologos, CSP Nephrology Past Accepting new patients
Nefro Salud LLC Nephrology PastSince Jul 26, 2026 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1720132988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741662",
            "telephone_number": "787-854-4120",
            "fax_number": "787-884-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ATENAS HERNANDEZ CARRION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-4120",
            "fax_number": "787-884-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MANUEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "5004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.