Quebradillas Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

QUEBRADILLAS MEDICAL GROUP LLC

Practice address

Carr Num 2 KM 96.7
Bo Cocos
Quebradillas, PR 00678-9326

Phone

(787) 420-2090

Fax

(787) 500-2015

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Cruz Cruz, MDNPI 1518483734

Title

Administrator

Phone

(787) 248-0180

Specialties & licenses 2

Addresses

Other names 1

• DR. JUAN C CRUZ CRUZ OFFICE Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Carlos Cruz Cruz, MD

  • General Practice Physician
  • Quebradillas, PR
  • NPI 1518483734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1932932712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42818 CARR 482",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789326",
            "telephone_number": "787-248-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR NUM 2 KM 96.7",
            "address_2": "BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789326",
            "telephone_number": "787-420-2090",
            "fax_number": "787-500-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEBRADILLAS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ CRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-248-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR. JUAN C CRUZ CRUZ OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quebradillas Health Group Inc.
• Quebradillas Health Management LLC
• Quebradillas Imaging Center PSC
• Quebradillas Medical Center PSC
• Quebradillas Medical Center PSC
• Quiropractica Viva Natural CSP
• Edrick N Ramirez, MD
• Jonathan Ramos Fernandez
• Debra Ramos Mercado
• Natalie Ramos Tosado

• General Practice Physician in Quebradillas, PR
• Providers in Quebradillas, 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 Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.