Individual provider Active NPI

Xiomara Cruz Bracero, MD

  • Internal Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1740619956
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19218 Issued in PR
Practice address
Ave Hostos # 410
Mayaguez, PR 00682-6353
Phone
(787) 652-9200
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19218 PR
Internal Medicine Physician 207R00000X 19218 PR Primary

Addresses

Primary practice location

Ave Hostos # 410
Mayaguez, PR 00682-6353

Mailing address

74 Calle Cordova
Belmonte
Mayaguez, PR 00680-2253
Phone (787) 362-0621

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
I20160606001018 PR Practitioner - Internal MedicinePractitioner - General Practice 3476843350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

74 Calle Cordova
Mayaguez, PR 00680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19218PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xcruz MD PSC CurrentSince Mar 6, 2016 Accepting new patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc Past Accepting new patients

Locations

410 Ave Hostos
Ste 2
Mayaguez, PR 00682
Phone (787) 360-3244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1740619956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CALLE CORDOVA",
            "address_2": "BELMONTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006802253",
            "telephone_number": "787-362-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS # 410",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-652-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ BRACERO",
        "first_name": "XIOMARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19218",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.