Individual provider Active NPI

Sydia L Cruz-Lopez, MD

  • Infectious Disease Physician
  • Mayaguez, PR
National Provider Identifier
1730294604
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
9590 Issued in PR
Practice address
1065 Ave Los Corazones
Edif Medico Profesional Ofic 212
Mayaguez, PR 00680-7060
Phone
(787) 805-2418
Fax
(787) 841-2565
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 9590 PR Primary

Addresses

Primary practice location

1065 Ave Los Corazones
Edif Medico Profesional Ofic 212
Mayaguez, PR 00680-7060

Mailing address

PO Box 1294
Mayaguez, PR 00681-1294
Phone (787) 805-2418

Other identifiers 1

IdentifierTypeStateIssuer
9590OtherPRPRACTICE LINCENCE

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
I20110719000101 PR Practitioner - Infectious Disease 5193993103 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1065 Ave Los Corazones
Edif Medico Profesional 212
Mayaguez, PR 00680
Phone (787) 691-3594

Hospital Bella Vista
Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680
Phone (787) 691-3594

Hospital Perea
15 Dr. Basora St
Mayaguez, PR 00680
Phone (787) 691-3594

Hospital & facility affiliations

  • Hospital Perea Hospital, Mayaguez, PR, CCN 400123

National Provider Directory

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

Hospital & facility affiliations 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1730294604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1294",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811294",
            "telephone_number": "787-805-2418",
            "fax_number": "787-841-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 AVE LOS CORAZONES",
            "address_2": "EDIF MEDICO PROFESIONAL OFIC 212",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807060",
            "telephone_number": "787-805-2418",
            "fax_number": "787-841-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-LOPEZ",
        "first_name": "SYDIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "9590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LINCENCE",
            "identifier": "9590",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.