Omar F. Cruz Rosario

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

004889 Issued in PR

Practice address

Calle Guillermo Riefkhol 99
Patillas, PR 00723

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

Mar 9, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1841825924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE GUILLERMO RIEFKHOL 99",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ROSARIO",
        "first_name": "OMAR",
        "middle_name": "F.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "PR",
            "license": "004889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "00231832",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "omar.hq3@gmail.com",
            "affiliation": "N",
            "address_1": "CALLE GUILLERMO RIEFKHOL 99",
            "city": "PATILLAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marvalyn Cordero-Lanzar
• Jacqueline Correa, RN
• Jose Antonio Cortes, RN
• Crew Medical Transport System, Inc.
• Johanna Cruz Morales
• Iliana Cruz Santiago
• Andry Socorro Cruz, RN
• Maria R David-Lind
• Joaquin J Davila-Quinones, MD
• Gloria De Alba, LPN

• Radiologic Technologist in Patillas, PR
• Providers in Patillas, PR by specialty
• Radiologic Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.