Individual provider Active NPI

Pablo Jose Cruz Lopez, M.D.

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1912019944
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14884 Issued in PR
Practice address
77 Calle Central
Coto Laurel, PR 00780-2109
Phone
(787) 842-7856
Fax
(787) 842-7836
NPI assigned
Aug 31, 2006
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 14884 PR
General Practice Physician 208D00000X 14884 PR Primary

Addresses

Primary practice location

77 Calle Central
Coto Laurel, PR 00780-2109

Mailing address

PO Box 7161
Ponce, PR 00732-7161
Phone (787) 844-0299

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000009 PR Practitioner - General Practice 8628970928 Practice locations: Coto Laurel, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

77 Calle Central
Coto Laurel, PR 00780-2109
Phone (787) 842-7856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14884PRMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Cruz Medical LLC General Practice CurrentSince May 21, 2026 Accepting new patients
Policlinica Las Americas Medical Center, Inc. General Practice Past Accepting new patients

Locations

3 Calle Segundo Bernier
Coamo, PR 00769
Phone (787) 803-0410

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1912019944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7161",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327161",
            "telephone_number": "787-844-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE CENTRAL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802109",
            "telephone_number": "787-842-7856",
            "fax_number": "787-842-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ LOPEZ",
        "first_name": "PABLO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-08",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "14884",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.