Jose Cruz, M.D.
NPI 1194712026 · General Practice Physician · Toa Alta, PR
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Cruz, M.D. is a General Practice Physician provider in Toa Alta, PR (NPI 1194712026).
Provider details
- NPI number
- 1194712026
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8556 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
28 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 28 | $89 |
Typical Medicare-allowed amounts for these services range $89–$89 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 52 | 22 |
| Losartan Potassium | 37 | 15 |
| Famotidine | 32 | — |
| Atorvastatin Calcium | 29 | 13 |
| Amlodipine Besylate | 27 | 11 |
| Metformin Hcl | 24 | — |
| Omeprazole | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$762 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2010-11-01
Frequently asked questions
- What is Jose Cruz's NPI number?
- Jose Cruz's National Provider Identifier (NPI) is 1194712026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Cruz's specialty?
- Jose Cruz is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Jose Cruz located?
- Jose Cruz's practice location on file with NPPES is 16 Calle Barcelo, Toa Alta, PR 00953-2444.
- What is Jose Cruz's phone number?
- The practice phone number listed in the NPPES registry for Jose Cruz is (787) 870-2270.
- Does Jose Cruz accept Medicare?
- Jose Cruz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Cruz's NPI active?
- Yes — Jose Cruz's NPI (1194712026) is active in the NPPES registry as of the last update on 2010-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.