Active NPI
Miguel Rodriguez Cruz, M.D.
- General Practice Physician
- Carolina, PR
National Provider Identifier
1821140807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9847
- Practice address
- 30 A-10 'Ave' Roberto Clemente
Urb Villa Carolina
Carolina, PR 00985 - Phone
- (787) 757-0570
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9847 | PR | Primary |
Addresses
Primary practice location
30 A-10 'Ave' Roberto Clemente
Urb Villa Carolina
Carolina, PR 00985
Mailing address
1626 Calle Alicante
Urb. Bahia Vistamar
Carolina, PR 00983-1470
Phone (787) 762-3240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9847 | Other | PR | PUERTO RICO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9847 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro East Blood Service | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Blood Bank
- Carolina, PR
- NPI 1215104849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821140807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 CALLE ALICANTE",
"address_2": "URB. BAHIA VISTAMAR",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831470",
"telephone_number": "787-762-3240",
"fax_number": "787-762-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 A-10 'AVE' ROBERTO CLEMENTE",
"address_2": "URB VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-757-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ CRUZ",
"first_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO LICENSE",
"identifier": "9847",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Yazmin Dalia Rodriguez Bautista
- Vincent X Rodriguez Bury, M.D.
- Jeremy Swan Rodriguez Camejo, PHD
- Francis J. Rodriguez Carrasquillo, R.P.T
- Carla Nicole Rodriguez Cortes, MA
- Ileana C Rodriguez Delgado, MD
- Ricardo Luis Rodriguez Delgado, M.D.
- Soriann Michelle Rodriguez Diaz, MD
- Idalisabel Rodriguez Gines, PSY.D
- Jose A Rodriguez Gonzalez, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.