Lisbeth Xiomara Rosa Cruz Fernandez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23066 Issued in PR

Practice address

Ave. Baralt
Avenida Principal F-4
Fajardo, PR 00738

Phone

(787) 860-5002

NPI assigned

Sep 14, 2022

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Costa Este Medical Services Corp

  • Health Maintenance Organization
  • Fajardo, PR
  • NPI 1548430689
  Medicare reassignment NPD
• Patient Medical Center of Florida Inc

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1891206504

  General Practice

  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1871215137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA ISIDRA III",
            "address_2": "A-18, CALLE B",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "904-591-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. BARALT",
            "address_2": "AVENIDA PRINCIPAL F-4",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA CRUZ FERNANDEZ",
        "first_name": "LISBETH",
        "middle_name": "XIOMARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1509",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION",
            "identifier": "7188491",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marangelie Rodriguez, FARMACY TECNICIAN
• Margarita Rodriguez
• Mirna Rodriguez
• Nydia M. Rodriguez, 761
• Maria V. Rolon, PHD
• Mayra Rosado Santa, DC
• Nancy Rosario, RPH
• Yomarie Rosario, BSN, RN
• Marta Ivelise Ruiz, OP
• Rafael Eduardo Ruiz

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.

Verify at the official NPI Registry.