Individual provider Active NPI

Maria L Miranda Cruz, MD

  • Pediatrics Physician
  • Guaynabo, PR
National Provider Identifier
1730147216
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
14533 Issued in PR
Practice address
Urb Tintillo Gardens
B 5 Calle 1
Guaynabo, PR 00966
Phone
(787) 799-9977
NPI assigned
May 3, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 14533 PR Primary

Addresses

Primary practice location

Urb Tintillo Gardens
B 5 Calle 1
Guaynabo, PR 00966

Mailing address

Urb. Tintillo Gardens
B - 5 Calle 1
Guaynabo, PR 00966-1666
Phone (787) 277-1638

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
I20190314002095 PR Practitioner - Pediatric Medicine 9032459805 Practice locations: Guaynabo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatria Buena Vista CSP Past Accepting new patients
Presbyterian Community Hospital, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1730147216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. TINTILLO GARDENS",
            "address_2": "B - 5 CALLE 1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661666",
            "telephone_number": "787-277-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB TINTILLO GARDENS",
            "address_2": "B 5 CALLE 1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-799-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA CRUZ",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "14533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.