Mr Juan De La Cruz, MD is a medicare enrolled "Surgery" physician in Vega Baja, Puerto Rico. He graduated from medical school in 1967 and has 57 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Audubon Primary Care Medicine Pllc, 181st Street Medical Pc and his current practice location is
Carr 2 Km. 39.5, Bo. Algarrobo Suite 110, Vega Baja, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 858-1580.
Mr Juan De La Cruz is licensed to practice in Puerto Rico (license number 3860) 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 1467568311.
Physician's Profile
| Full Name | Mr Juan De La Cruz |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 57 Years |
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| Location | Carr 2 Km. 39.5, Vega Baja, Puerto Rico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Juan De La Cruz graduated from medical school in 1967
NPI Data:
- NPI Number: 1467568311
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 05/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991793713
- Enrollment ID: I20210119001390
Medical Identifiers
Medical identifiers for Mr Juan De La Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467568311 | NPI | - | NPPES |
| 4011902 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 3860 (Puerto Rico) | Primary |
| 208D00000X | General Practice | 3860 (Puerto Rico) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Audubon Primary Care Medicine Pllc | 5890920656 | 5 |
| 181st Street Medical Pc | 8022242130 | 10 |
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. Mr Juan De La Cruz allows following entities to bill medicare on his behalf.
| Entity Name | 181st Street Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922345768
PECOS PAC ID: 8022242130
Enrollment ID: O20131003000163 |
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| Entity Name | Audubon Primary Care Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851736441
PECOS PAC ID: 5890920656
Enrollment ID: O20131101001033 |
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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. Mr Juan De La 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 Address | Practice Location Address |
|---|
Mr Juan De La Cruz, MD
Po Box 1554,
Vega Baja, PR 00694-1554
Ph: (787) 454-7690 | Mr Juan De La Cruz, MD
Carr 2 Km. 39.5, Bo. Algarrobo Suite 110,
Vega Baja, PR 00693-0000
Ph: (787) 858-1580 |
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