Carlos Rafael Cruz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

11855 Issued in PR

Practice address

Cond Grand View 455 Carr 837
Apt 110
Guaynabo, PR 00971

Phone

(787) 708-9882

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Asociacion de Maestros de P R

  • Voluntary or Charitable Agency
  • San Juan, PR
  • NPI 1740437888
  Medicare reassignment NPD
• Roced Inc

  • Primary Care Clinic/Center
  • Guaynabo, PR
  • NPI 1780890483
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730123928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. GRAND VIEW 455 CARR 837",
            "address_2": "APT 110",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-708-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND GRAND VIEW 455 CARR 837",
            "address_2": "APT 110",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-708-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARLOS RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edell Cruz Rivera, 1361P
• Angel Cruz Rodriguez, 0610P
• Ivan Cruz Rodriguez, 1452B
• Ivelisse Cruz Santos, PHARMACIST TECHN
• Abdiel Cruz-Loubriel, M.D.
• Frances E Cruz, MSW
• Ingrid Cruz, D.M.D.
• Marcos Javier Cruz, MD
• Maricarmen Cruz, MD
• Noelia Cruz

• Specialist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.