MEDICARE: DR. RAMON CRUZ RIVERA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	282N00000X	General Acute Care Hospital
2	282NC0060X	Critical Access Hospital
3	282NC2000X	Children's Hospital
4	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1578362661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. RAMON CRUZ RIVERA LLC

Provider Business Mailing Address
First Line	:	PO BOX 404
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-0404
Country	:	US
Telephone Number	:	787-648-0810
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 CALLE SAN JORGE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00912-0000
Country	:	US
Telephone Number	:	787-727-1000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAMON L. CRUZ RIVERA
Credential	:	M.D.
Telephone Number	:	787-648-0810

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

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