Active NPI
Ellen Christina Rivera Cruz, M.D.
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1891962866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16275
- Practice address
- 51 Calle Dr Veve
Bayamon, PR 00961-6362 - Phone
- (787) 780-7575
- NPI assigned
- May 9, 2008
- 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 | 16275 | PR | Primary |
Addresses
Primary practice location
51 Calle Dr Veve
Bayamon, PR 00961-6362
Mailing address
K41 Calle 3
Urb. Valparaiso
Toa Baja, PR 00949-4018
Phone (939) 213-0671
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1891962866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "K41 CALLE 3",
"address_2": "URB. VALPARAISO",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494018",
"telephone_number": "939-213-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 CALLE DR VEVE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616362",
"telephone_number": "787-780-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA CRUZ",
"first_name": "ELLEN",
"middle_name": "CHRISTINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.