Individual provider Active NPI

Wilda Figueroa-Cruz, M.D.

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1982615928
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8067 Issued in PR
Practice address
200 Calle Juan P Duarte
San Juan, PR 00917-3602
Phone
(787) 759-6909
NPI assigned
Aug 11, 2006
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8067 PR Primary

Addresses

Primary practice location

200 Calle Juan P Duarte
San Juan, PR 00917-3602

Mailing address

243 Calle Paris PMB 1863
San Juan, PR 00917-3632
Phone (787) 759-6909

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
I20070109000064 PR Practitioner - Internal Medicine 4880693241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8067PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optica Joely, Inc PastSince Aug 26, 2010 Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1982615928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CALLE PARIS PMB 1863",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173632",
            "telephone_number": "787-759-6909",
            "fax_number": "787-766-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CALLE JUAN P DUARTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173602",
            "telephone_number": "787-759-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA-CRUZ",
        "first_name": "WILDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.