Active NPI
Luis Angel Diaz Cruz, M. D.
- Nephrology Physician
- Toa Baja, PR
National Provider Identifier
1790133718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 022351
- Practice address
- A la Orden Shopping Center 2ND FL 600
2821 PR-167
Toa Baja, PR 00950-1502 - Phone
- (787) 710-2532
- NPI assigned
- May 31, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 022351 | PR | Primary |
Addresses
Primary practice location
A la Orden Shopping Center 2ND FL 600
2821 PR-167
Toa Baja, PR 00950-1502
Mailing address
PO Box 51502
Toa Baja, PR 00950-1502
Phone (787) 710-2532
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220606000727 | PR | Practitioner - Nephrology | 6103204086 | Practice locations: Caguas, PR; Toa Baja, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Caguas, PR 00727
Phone (787) 396-2221
Hospital & facility affiliations
- Auxilio Mutuo Hospital
- Metropolitan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022351 | PR | MD | Nephrology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1275580763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1790133718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51502",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501502",
"telephone_number": "787-710-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A LA ORDEN SHOPPING CENTER 2ND FL 600",
"address_2": "2821 PR-167",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501502",
"telephone_number": "787-710-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ CRUZ",
"first_name": "LUIS",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2022-08-29",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "022351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.