Individual provider Active NPI

Mariana Cruz Manzano, M.D

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1760821565
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01078809A Issued in IN
Practice address
369 Calle de Diego Torre San Francisco
Suite 403
San Juan, PR 00923
Phone
(787) 998-3400
Fax
(787) 998-3410
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01078809A IN Primary

Addresses

Primary practice location

369 Calle de Diego Torre San Francisco
Suite 403
San Juan, PR 00923

Mailing address

Condominio Torre del Cardenal
675 Calle S Cuevas, SPH 16
San Juan, PR 00918-0001
Phone (787) 392-1680

Other practice location 1

Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00917
Phone (787) 480-2791

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
I20190503000776 PR Practitioner - Dermatology 4981974326 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Grand Blvd Los Prados
Caguas, PR 00727-9507
Phone (787) 746-3136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1050
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy308

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Dra. Karen Cruz P.S.C. Past Accepting new patients
Dr Samuel Sanchez PSC Dermatology PastSince Aug 2, 2007 Accepting new patients

Organizations & group practices 3

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1760821565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO TORRE DEL CARDENAL",
            "address_2": "675 CALLE S CUEVAS, SPH 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180001",
            "telephone_number": "787-392-1680",
            "fax_number": "787-998-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 CALLE DE DIEGO TORRE SAN FRANCISCO",
            "address_2": "SUITE 403",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-998-3400",
            "fax_number": "787-998-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Puerto Rico Medical Center",
            "address_2": "Bo. Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00917",
            "country_code": "US",
            "telephone_number": "787-480-2791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ MANZANO",
        "first_name": "MARIANA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01078809A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.