Cutis FCMS, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

CUTIS FCMS, LLC

Practice address

36 Carr 2 Ste 302
Vega Alta, PR 00692-6092

Phone

(787) 883-6234

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Cristina Ortiz-Diaz, DMD

Title

President

Phone

(787) 219-7943

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1992474571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE NOGAL 67 URB. MONTECASINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-219-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926092",
            "telephone_number": "787-883-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTIS FCMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-DIAZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-219-7943",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038821200",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cutisfacialcosmeticsurgery@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "professional",
            "address_1": "36 Carr 2 Ste 302",
            "city": "Vega Alta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006926092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyffanie Miaugine Cruz Colon
• Juan Carlos Cruz Tapia
• Maria C Cruz-Lartigaut, MD
• Janice Cruz-Vazquez, LND,RD
• Barbara Cuevas Candelario, DMD
• Noel Davila Torres
• Carmen Milagros Davila, LCDA.
• Lorimar Davila, SLP
• Gabriela De Anca Maldonado
• Monica De Anca Maldonado, DC

• Oral and Maxillofacial Surgery Clinic/Center in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.