Active NPI
Karylane Palermo Cruz
- Neurology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21758
- Practice address
- 300 Ave Felisa Rincon Suite 1
Las Vistas Shopping Village
San Juan, PR 00924 - Phone
- (787) 936-2066
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 311821 | NY | |
| Neurology Physician | 2084N0400X | 21758 | PR | Primary |
Addresses
Primary practice location
300 Ave Felisa Rincon Suite 1
Las Vistas Shopping Village
San Juan, PR 00924
Mailing address
PO Box 261927
San Juan, PR 00926-2649
Phone (787) 429-1109
Other practice location 1
Carr 3. Km. 13.4
Bo. Canovanillas
Carolina, PR 00987
Phone (787) 993-4990
Other practice location 2
Avenida Gautier Benitez
C8 Consolidate Mall
Caguas, PR 00725
Phone (787) 248-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21758 | Other | PR | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Bo Monacillos
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone (787) 754-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21758 | PR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Neurology | Current | Accepting new patients |
| Integrate Community Health System, Inc. | Past | Accepting new patients | |
| KP Neurology LLC | Past | Accepting new patients | |
| Metro Pavia Healthcare Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kpalermo230961@direct.urmc.rochester.edu
- karylane.palermocruz.p1@direct.vitacare.nextgenshare.com
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- San Juan, PR
- NPI 1316022312
-
- Neurodevelopmental Disabilities Physician
- San Juan, PR
- NPI 1386578789
-
- Neurology Physician
- San Juan, PR
- NPI 1225113228
-
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1821502519
-
- Clinic/Center
- Carolina, PR
- NPI 1164944500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1780131110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261927",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262649",
"telephone_number": "787-429-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 AVE FELISA RINCON SUITE 1",
"address_2": "LAS VISTAS SHOPPING VILLAGE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-936-2066"
}
],
"practiceLocations": [
{
"address_1": "Carr 3. Km. 13.4",
"address_2": "Bo. Canovanillas",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "00987",
"country_code": "US",
"telephone_number": "787-993-4990",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Avenida Gautier Benitez",
"address_2": "C8 Consolidate Mall",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "00725",
"country_code": "US",
"telephone_number": "787-248-9080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALERMO CRUZ",
"first_name": "KARYLANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2022-11-10",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "311821",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "21758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "21758",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.