Individual provider Active NPI

Karylane Palermo Cruz

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1780131110
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21758 Issued in PR
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

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21758OtherPRLICENSE

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
I20220826003180 PR Practitioner - Neurology 6204231442 Reassigns benefits to 1 organization
Practice locations: Caguas, PR; Carolina, PR

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
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

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

LicenseStateTypeSpecialty
21758PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jan 1, 2023 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas Neurology CurrentSince Jan 1, 2023 Accepting new patients
Integrate Community Health System, Inc. Past Accepting new patients
KP Neurology LLC PastSince Jul 24, 2022 Accepting new patients
Metro Pavia Healthcare Centers, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kpalermo230961@direct.urmc.rochester.edu
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.