Antonio A. De la Cruz Miranda, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

12964 Issued in PR

Practice address

Carimed PLZ
B-1 Calle Santa Cruz Suite 403-404
Bayamon, PR 00961-6928

Phone

(787) 798-7070

Fax

(787) 787-2107

NPI assigned

Feb 21, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Orthopedic Surgery

Education

University of Puerto Rico School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antonio.delacruz@chartlogic.direct-ci.com

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.

• De la Cruz Miranda Orthopedic Services PSC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bayamon, PR
  • NPI 1225453376
  Medicare reassignment NPD
• Hernandez Gonzalez Orthopedic Services, PSC

  • Orthopaedic Trauma Physician
  • Bayamon, PR
  • NPI 1619394640
  NPD (past)

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

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1972578284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B-17 CALLE POPPY",
            "address_2": "PARQUE FORESTAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLZ",
            "address_2": "B-1 CALLE SANTA CRUZ SUITE 403-404",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616928",
            "telephone_number": "787-798-7070",
            "fax_number": "787-787-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ MIRANDA",
        "first_name": "ANTONIO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "12964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9610027",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "81409",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orlando Emanuel De Jesus Rosario, PSYD
• Michael Gabriel De Jesus Soto
• Demy A De Jesus, PH D
• Gabriel De Jesus, PSY.D.
• De la Cruz Miranda Orthopedic Services PSC
• Sussan Ylanairy De la Cruz Ramirez, MD
• Frances Elimar De la Cruz Torres
• Alba Estela De la Cruz-Robles, MD
• Miguel Dario De la Cruz, M.D.
• Eneida Maria De la Torre - Lugo, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.