DR. MARCOS JAVIER CRUZ MD
NPI 1265556898
Psychiatry & Neurology - Neurology in Guaynabo, PR

Q: What is Marcos Cruz's NPI number?

The NPI number for Marcos Cruz is 1265556898. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Marcos Cruz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Marcos Cruz was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

35 CALLE JUAN C BORBON STE 67-411, GUAYNABO, PR 00969(787) 650-7272(615) 822-8909 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Jun 3, 2026, Aug 6, 2025 and 6 more (9 updates tracked since 2016).

On this page

About Dr. Marcos Javier Cruz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARCOS JAVIER CRUZ MD (NPI 1265556898) is an individual neurology provider in Guaynabo, Puerto Rico, licensed in Tennessee (43409) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1265556898

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. MARCOS JAVIER CRUZCredential: MD

Location Address35 CALLE JUAN C BORBON STE 67-411Guaynabo, PR 00969-5374

Mailing Address35 Calle Juan C Borbon Ste 67-411Guaynabo, PR 00969-5374 · (787) 650-7272 · Fax (615) 822-8909

Phone(787) 650-7272

Fax(615) 822-8909

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 19, 2007

Last NPPES UpdateAugust 3, 20269 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1265556898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in TN · 43409✔ Licensed in AZ · 44852✔ Licensed in MD · D0074495✔ Licensed in PA · MD429359✔ Licensed in CO · 51738✔ Licensed in CT · 1.050511✔ Licensed in TX · S3809✔ Licensed in GA · 68137✔ Licensed in CA · A119996✔ Licensed in NY · 256591-1✔ Licensed in FL · 114674✔ Licensed in OR · MD155832✔ Licensed in SC · MMD.34404✔ Licensed in NJ · 25MA08692000

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 19613 (PR)

Secondary Practice Location 1

Location 1700 US Highway 46 Ste 420Fairfield, NJ 07004-1532 · Phone (973) 882-3456

Other Identifiers 3

Medicaid300053733IN

Other103I131610TN · Medicare

Medicaid1510413TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marcos Javier Cruz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870652472

PECOS Enrollment IDI20081112000160, I20110617000401, I20130322000275, I20171120000609, I20180924001715, I20180924002988, I20190319002366, I20190430002823, I20190604001316, I20190726002039, I20210105001181, I20210204000364, I20211013003751, I20230427001923, I20240116000047, I20260603004604

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marcos Cruz reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

C & C Neurological Associates PLLC

Neurology

353 NEW SHACKLE ISLAND RD., BUILDING A, SUITE 100
Hendersonville, TN 37167

Reassigned Medicare billing, Tennessee enrollment

NPI 1871723353 (615) 681-2659

Centro Medico Del Turabo Inc

Multi-Specialty

HIMA SAN PABLO CAGUAS, URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Caguas, PR 00725

Reassigned Medicare billing, Puerto Rico enrollment
428 clinicians in this Medicare group

NPI 1710107883 (787) 653-3434

Denver Health And Hospital Authority

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

Dr Susoni Health Community Services Corp

Anesthesiology

CARR, 129 KM 1.0, AVE SAN LUIS
Arecibo, PR 00613

Reassigned Medicare billing, Puerto Rico enrollment
13 clinicians in this Medicare group

NPI 1053945022 (787) 650-7272

Hospital Dr. Susoni. Inc.

General Acute Care Hospital

55 CALLE PALMA
Arecibo, PR 00612

Reassigned Medicare billing, Puerto Rico enrollment
3 clinicians in this Medicare group

NPI 1104862044 (787) 650-1030

Neurolinks Of Tulsa, LLC

Medical Specialty

1145 S UTICA AVE, SUITE 901
Tulsa, OK 74104

Reassigned Medicare billing, Arkansas enrollment
2 clinicians in this Medicare group

NPI 1336304187 (918) 742-0400

Neurology By C & c

Neurology

#100 COCO PLUMOSA URB PALMA REAL
Guaynabo, PR 00969

Reassigned Medicare billing, Puerto Rico enrollment

NPI 1831841857 (615) 681-2659

Neurophysiologic Interpretive Medicine PLLC

Neurology

700 US HIGHWAY 46, SUITE 420
Fairfield, NJ 07004

Reassigned Medicare billing, New York enrollment
13 clinicians in this Medicare group

NPI 1316256167 (973) 882-3456

Neurophysiologic Interpretive Specialists LLC

Neurology

700 US HIGHWAY 46, SUITE 420
Fairfield, NJ 07004

Reassigned Medicare billing, Connecticut, District of Columbia, Delaware, New Jersey and Pennsylvania enrollments
12 clinicians in this Medicare group

NPI 1780827162 (973) 882-3456

Neuroshield Network SE LLC

Clinical Neurophysiology

700 US HIGHWAY 46, SUITE 420
Fairfield, NJ 07004

Reassigned Medicare billing, Florida, Georgia, North Carolina, South Carolina, South Dakota and Virginia enrollments
11 clinicians in this Medicare group

NPI 1538600606 (973) 882-3456

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) G0453

Continuous intraoperative neurophysiology monitoring is a service where a specialist oversees your nervous system's function during surgery, from a nearby or remote location. This is done every 15 minutes and is focused solely on you. It helps ensure surgical safety by identifying any potential nervous system changes promptly.

2,247 services134 patients

Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938

This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.

1,180 services1,142 patients

Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study 95870

This procedure, known as an electromyography (EMG), involves using a needle to measure electrical activity in your muscles. It can help diagnose conditions affecting nerves or muscles. It's a limited study, meaning only specific muscles in the arm, leg, trunk, or head are examined.

859 services534 patients

Testing of nerve-muscle junction 95937

Testing of the nerve-muscle junction, also known as Electromyography (EMG), is a diagnostic procedure to evaluate the health of muscles and the nerve cells that control them. It involves a small device detecting electrical activity from your muscles to identify potential issues.

794 services764 patients

Measurement of brain wave activity (eeg) outside the brain during surgery 95955

An EEG (Electroencephalogram) during surgery monitors brain activity. Electrodes on the scalp record brain wave patterns, helping doctors ensure the brain is functioning normally throughout the procedure.

581 services558 patients

Placement of skin electrodes and measurement of central motor stimulation in arms and legs 95939

This procedure involves placing small patches (electrodes) on your skin over your arms and legs. These electrodes send harmless electrical signals to your muscles. The response is measured to assess the health and function of your nerves and muscles.

531 services512 patients

Needle measurement of electrical activity in arm or leg muscles, 2 extremities 95861

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. It helps diagnose conditions affecting nerves or muscles. It's generally painless, though you may feel some discomfort.

512 services496 patients

Needle measurement of electrical activity in muscles on both sides of body 95868

This procedure, known as electromyography, involves inserting tiny needles into muscles to measure their electrical activity. It helps identify muscle or nerve disorders. It's performed on both sides of the body for comparison. It's generally safe and may cause minimal discomfort.

96 services95 patients

Needle measurement of electrical activity in muscles on side of body 95867

This procedure, known as an electromyography, involves a small needle inserted into muscles to measure their electrical activity. It helps diagnose conditions affecting muscle function or nerve communication. It's a safe and essential tool in neurology.

39 services38 patients

Needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51785

This procedure involves inserting a small needle into muscles near the openings of your body's waste removal systems. The needle records the electrical activity of these muscles, providing essential information about their function. This is a safe, routine process.

29 services28 patients

Needle measurement of electrical activity in voice box muscles 95865

This procedure involves a needle that measures the electrical activity in your voice box muscles. It helps detect any abnormalities or issues. It's similar to an EKG for your heart, but focuses on your voice box instead.

16 services16 patients

Placement of skin electrodes and measurement of central motor stimulation in legs 95929

This procedure involves placing skin electrodes on your legs to measure the responses of your central nervous system. It helps in assessing the health and functionality of your nerves and muscles. The process is safe, non-invasive, and usually painless.

16 services16 patients

Measurement of brain wave activity (eeg), 41-60 minutes 95812

This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330182

Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County

Emergency services

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330401

Location50 Route 25ASmithtown, NY 11787 · Suffolk County

Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00969 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.65 typical visit price

range $56.86 – $172.44

Typical copayment $32.66 (range $14.21 – $43.11)

Most-billed visit code 99204

Established Patient

$100.24 typical visit price

range $18.24 – $140.44

Typical copayment $25.06 (range $4.56 – $35.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcos Cruz's NPI number?

The NPI number for Marcos Cruz is 1265556898. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Marcos Cruz located?

Marcos Cruz practices at 35 Calle Juan C Borbon Ste 67-411, Guaynabo, PR 00969. The listed phone number is (787) 650-7272.

What is Marcos Cruz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marcos Cruz enrolled in Medicare?

Yes. Marcos Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marcos Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcos Cruz reassigns Medicare benefits to 18 organizations: C & C Neurological Associates PLLC (Hendersonville, TN), Centro Medico Del Turabo Inc (Caguas, PR), Denver Health And Hospital Authority (Denver, CO), Dr Susoni Health Community Services Corp (Arecibo, PR), Hospital Dr. Susoni. Inc. (Arecibo, PR) and 13 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcos Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcos Cruz accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource list Marcos Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marcos Cruz affiliated with any hospitals?

According to CMS data, Marcos Cruz is affiliated with St Francis Hospital - The Heart Center, St Catherine Of Siena Hospital Medical Center, Novant Health New Hanover Regional Medical Center and Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Marcos Cruz was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.