Active NPI
Carina Adele Cruz, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1861571705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14169
- Practice address
- B25 Villa Criolla
Ave. Munoz Marin
Caguas, PR 00725 - Phone
- (787) 743-0165
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- 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 | 14169 | PR | Primary |
Addresses
Primary practice location
B25 Villa Criolla
Ave. Munoz Marin
Caguas, PR 00725
Mailing address
La Reserva , El Yunque 44
Caguas, PR 00727
Phone (787) 743-0165
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84744CR | Other | PR | TRIPLE S |
| 100919 | Other | PR | INTERNATIONAL PLUS |
| 70030028 | Other | PR | HUMANA INSURANCE |
| A681 | Other | PR | FIRST MEDICAL |
| 3939 | Other | PR | PMC |
| 400285 | Other | PR | MMM |
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 |
|---|---|---|---|---|
| I20170613000687 | PR | Order and Referring Only - General Practice | 2567730708 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14169 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1861571705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LA RESERVA , EL YUNQUE 44",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-743-0165",
"fax_number": "787-905-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B25 VILLA CRIOLLA",
"address_2": "AVE. MUNOZ MARIN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-743-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CARINA",
"middle_name": "ADELE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "84744CR",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL PLUS",
"identifier": "100919",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "70030028",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "A681",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "3939",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "400285",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.