OrganizationActive
Policlinica Ileanmarie Psc
NPI 1104059062 · General Practice Physician · San Antonio, PR
Provider details
- NPI number
- 1104059062
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ileana Albino Cruz, President(787) 890-1674
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1803 Calle Kennedy
San Antonio, PR 00690
Phone: (787) 890-1674
Street-level locationGet directions
Mailing address
1803 Calle Kennedy
San Antonio, PR 00690-1210
Other names (DBA / former)
- Former legal business name
- Policlinica Ileanmarie Psc
Registry dates
- Enumerated
- 2009-08-26
- Last updated
- 2009-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.