Active NPI
Gladys E Cruz, DMD
- General Practice Dentistry
- Pasadena, TX
National Provider Identifier
1760740328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3162
- Practice address
- 3606 Fairmont Pkwy
Pasadena, TX 77504-3008 - Phone
- (787) 813-9088
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3162 | PR | Primary |
Addresses
Primary practice location
3606 Fairmont Pkwy
Pasadena, TX 77504-3008
Mailing address
PO Box 60
Penuelas, PR 00624-0060
Phone (787) 813-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3162 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessed Smiles PR PSC | General Practice | Current | Accepting new patients |
| G Cruz Dental LLC | Current | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Sabana Grande, PR
- NPI 1720941099
-
- Dentist
- Guanica, PR
- NPI 1306402425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1760740328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60",
"city": "PENUELAS",
"state": "PR",
"postal_code": "006240060",
"telephone_number": "787-813-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 FAIRMONT PKWY",
"city": "PASADENA",
"state": "TX",
"postal_code": "775043008",
"telephone_number": "787-813-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "GLADYS",
"middle_name": "E",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "3162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.