Individual provider Active NPI

Marcia R Cruz-Correa, MD

  • Gastroenterology Physician
  • Rio Piedras, PR
National Provider Identifier
1962497164
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12414 Issued in PR
Practice address
Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping Ave Americo Miranda
Rio Piedras, PR 00921
Phone
(787) 522-3264
NPI assigned
Sep 13, 2005
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12414 PR Primary

Addresses

Primary practice location

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping Ave Americo Miranda
Rio Piedras, PR 00921

Mailing address

PO Box 192880
San Juan, PR 00919-2880
Phone (787) 522-3264

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
I20051020000223 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 5799701686 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

La Casa Ciudadela
Suite 101
San Juan, PR 00909
Phone (939) 268-9226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy52
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12214PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Gastroenterology CurrentSince Aug 15, 2005 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 15, 2005 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients
Centro de Cancer de la Universidad PastSince Mar 4, 2020 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1962497164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192880",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192880",
            "telephone_number": "787-522-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "REPARTO METROPOLITANO SHOPPING AVE AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-522-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-CORREA",
        "first_name": "MARCIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.