Active NPI
Patricia Pagan Cruz, RDN, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1932700887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002133
- Practice address
- 894 Calle Buzardo Apt 4
Urb. Country Club
San Juan, PR 00924-3399 - Phone
- (787) 382-1018
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002133 | PR | Primary |
Addresses
Primary practice location
894 Calle Buzardo Apt 4
Urb. Country Club
San Juan, PR 00924-3399
Mailing address
PO Box 832
Garrochales, PR 00652-0832
Phone (787) 382-1018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224002687 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4486135860 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Calle Asisclo Soler
Barceloneta, PR 00617
55 Calle Palma
Arecibo, PR 00612-4526
Phone 78765010301414
HC 1 Box
Suite 7553
Aguas Buenas, PR 00703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2133 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1932700887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 832",
"city": "GARROCHALES",
"state": "PR",
"postal_code": "006520832",
"telephone_number": "787-382-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "894 CALLE BUZARDO APT 4",
"address_2": "URB. COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243399",
"telephone_number": "787-382-1018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN CRUZ",
"first_name": "PATRICIA",
"credential": "RDN, LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "002133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.