| Ncd Endocrinology LLC | |
|
Torre Medica Suite 215 Carr 21 Num 1785 Ave Las Lomas #21 San Juan PR 00922-0000 | |
| (787) 639-5353 | |
| Not Available |
| Full Name | Ncd Endocrinology LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | Torre Medica Suite 215, San Juan, Puerto Rico |
| Authorized Official Name and Position | Nicolas a Cruz Dardiz (CEO) |
| Authorized Official Contact | 7876466041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncd Endocrinology LLC Po Box 361513 San Juan PR 00936-1513 Ph: (787) 646-6041 | Ncd Endocrinology LLC Torre Medica Suite 215 Carr 21 Num 1785 Ave Las Lomas #21 San Juan PR 00922-0000 Ph: (787) 639-5353 |
| NPI Number | 1053139303 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 08/25/2025 |
| Certification Date | 08/25/2025 |
| Medicare PECOS PAC ID | 0648765040 |
|---|---|
| Medicare Enrollment ID | O20251223002369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053139303 | NPI | - | NPPES |
| 40082300 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| Provider Name | Nicolas a Cruz Dardiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619351103 PECOS PAC ID: 4385053073 Enrollment ID: I20210510002010 |
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