Individual provider Active NPI

Ana Y Cruz Cabrera, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1801857123
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15964 Issued in PR
Practice address
Clinica Borinquen Suite 106
Ave Campo Rico
Carolina, PR 00982
Phone
(787) 762-9409
Fax
(787) 701-1134
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15964 PR Primary

Addresses

Primary practice location

Clinica Borinquen Suite 106
Ave Campo Rico
Carolina, PR 00982

Mailing address

Cond Portal de Sofia 111
Celilio Urbina Apto 3107
Guaynabo, PR 00969-5972
Phone (787) 268-7271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1594PRMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1801857123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PORTAL DE SOFIA 111",
            "address_2": "CELILIO URBINA APTO 3107",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695972",
            "telephone_number": "787-268-7271",
            "fax_number": "787-268-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA BORINQUEN SUITE 106",
            "address_2": "AVE CAMPO RICO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-762-9409",
            "fax_number": "787-701-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ CABRERA",
        "first_name": "ANA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.