DR. ANTONIO A. DE LA CRUZ MIRANDA (NPI# 1972578284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972578284 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO A. DE LA CRUZ MIRANDA |
| Credential | M.D. |
| Practice Address |
Carimed Plz B-1 Calle Santa Cruz Suite 403-404 Bayamon PR 00961-6928 |
| Mailing Address |
B-17 Calle Poppy Parque Forestal San Juan PR 00926 |
| Practice Telephone | 7877987070 |
| Practice Fax Number | 7877872107 |
| Mailing Telephone | 7877987070 |
| Mailing Fax Number | 7877872107 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
12964 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | TRIPLE S | 81409 | 01 |
| PR | HUMANA | 9610027 | 01 |
| Street Address |
CARIMED PLZ B-1 CALLE SANTA CRUZ SUITE 403-404 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001765 | Antonio H Soler Salas | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403-404, Bayamon, PR 00961-6928 | 2005-08-29 |
| 1003231226 | Deliz Asmar Orthopedic Services Psc | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403, Bayamon, PR 00961-6928 | 2014-02-25 |
| 1609133206 | Fernandez Lopez Orthopedic Services Psc | Orthopaedic Surgery | Carimed Plz, B1 Santa Cruz St., Bayamon, PR 00961-6928 | 2012-04-19 |
| 1447225776 | Samuel A. Fernandez Lopez | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403-404, Bayamon, PR 00961-6928 | 2006-02-21 |
| 1811962178 | Johnny Hernandez Gonzalez | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403, Bayamon, PR 00961-6928 | 2006-02-21 |
| 1669447942 | Efrain D Deliz Asmar | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403-404, Bayamon, PR 00961-6928 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001765 | Antonio H Soler Salas | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403-404, Bayamon, PR 00961-6928 | 2005-08-29 |
| 1225453376 | De La Cruz Miranda Orthopedic Services Psc | Orthopaedic Surgery | B1 Calle Santa Cruz, Suite 403 Carimed Plaza, Bayamon, PR 00961 | 2014-02-26 |
| 1023456860 | Orthopaedics and Arthroscopic Institute | Orthopaedic Surgery | Bayamon Medical Plaza, Piso 7 Suite 701, Bayamon, PR 00959-7200 | 2013-06-13 |
| 1164496014 | Felipe Fontanez Sullivan | Orthopaedic Surgery | Bayamon Medical Plz, Suite 701, Bayamon, PR 00959-7200 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831678655 | Global Orthopaedics Professional | Orthopaedic Surgery | 7342 Avenida Agustin Ramos Calero, Isabela, PR 00662 | 2018-08-13 |
| 1407217789 | Centro Ortopedico Integrado Csp | Orthopaedic Surgery | 2360 Ave Eduardo Ruberte, Ponce, PR 00717-0304 | 2016-03-14 |
| 1710370630 | Sports Medicine Caguas, LLC. | Orthopaedic Surgery | 201 Gautier Benitez Ave, Consolidated Medical Plaza Ste 305, Caguas, PR 00725 | 2015-03-17 |
| 1942611900 | Centro Ortopedico Especializado | Orthopaedic Surgery | 396 Luis F. Salas Street, Zona Industrial Reparada 2, Ponce, PR 00717 | 2014-05-13 |
| 1083855696 | Jose J Echenique Arana | Orthopaedic Surgery | 735 Ave Ponce De Leon Ste 201, San Juan, PR 00917-5023 | 2009-03-11 |
| 1912041088 | Tort Orthopaedic Institute Psc | Orthopaedic Surgery | Rio Piedras Heights, 1728 Ave Lomas Verdes, San Juan, PR 00926 | 2007-02-20 |
| 1326197401 | Gilberto Jose Alvarado | Orthopaedic Surgery | Calle Ana D Perez, Urb Industrial Reparada II, Ponce, PR 00731 | 2007-01-09 |
| 1245248566 | Manuel A Badillo Collazo | Orthopaedic Surgery | 21 St 3s3, Las Lomas, San Juan, PR 00921 | 2006-08-03 |
| 1902875214 | Mark Emil Trautmann | Orthopaedic Surgery | 373 Ave Domenech, San Juan, PR 00918-3721 | 2006-03-17 |
| 1992772099 | Magdiel Mayol-urdaz | Orthopaedic Surgery | Cepyq-hospital San Francisco, 371 De Diego Ave., San Juan, PR 00923 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.