Dr Jose A Cruz, MD - Medicare General Practice in Toa Alta, PR

Dr Jose A Cruz, MD is a medicare enrolled "General Practice" physician in Toa Alta, Puerto Rico. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Clinica Las Americas Guaynabo, Inc and his current practice location is 16 Calle Barcelo, Toa Alta, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 870-2270.

Dr Jose A Cruz is licensed to practice in Puerto Rico (license number 8556) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194712026.

Contact Information

Dr Jose A Cruz, MD
16 Calle Barcelo,
Toa Alta, PR 00953-2444
(787) 870-2270
(787) 870-1508

Map and Direction




Physician's Profile

Full NameDr Jose A Cruz
GenderMale
SpecialityGeneral Practice
Experience40 Years
Location16 Calle Barcelo, Toa Alta, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose A Cruz graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1194712026
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 11/01/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2769480631
  • Enrollment ID: I20061201000395

Medical Identifiers

Medical identifiers for Dr Jose A Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194712026NPI-NPPES
8566OtherPRSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 8556 (Puerto Rico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinica Las Americas Guaynabo, Inc347650407745

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jose A Cruz allows following entities to bill medicare on his behalf.
Entity NameClinica Las Americas Guaynabo, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326096058
PECOS PAC ID: 3476504077
Enrollment ID: O20050201000414

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose A Cruz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jose A Cruz, MD
Cond. El Cordobes 11a, Ave. San Patricio,
Guaynabo, PR 00968

Ph: (787) 870-1529
Dr Jose A Cruz, MD
16 Calle Barcelo,
Toa Alta, PR 00953-2444

Ph: (787) 870-2270

Reviews and Comments


General Practice Doctors in Toa Alta, PR

Dr. Marjorie Acosta-guillot, M.D
General Practice
Medicare: Medicare Enrolled
Practice Location: L2 Calle 7, Toa Alta, PR 00953
Phone: 787-870-4704    
William Felix Rios, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 32 Antonio Lopez, Toa Alta, PR 00954
Phone: 787-870-3760    Fax: 787-870-2735
Dr. Zuleyka Cruz Rodriguez, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1l-7 Calle 7 Urb. La Providencia, Toa Alta, PR 00953
Phone: 939-257-2144    
Dr. Ana F Maltes, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: Calle Jose De Diego Num 76, Toa Alta, PR 00953
Phone: 787-870-5382    Fax: 787-870-1324
Dr. Cesar A. Almonte, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: Calle Aguas Frias #1512, Urb. Las Cascadas, Toa Alta, PR 00953
Phone: 787-780-6569    Fax: 787-780-6569
Eduardo Alfonso Rios Sr., MD
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 32 Antonio Lopez, Toa Alta, PR 00954
Phone: 787-870-3760    Fax: 787-870-2735

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.