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DR. NIVIA ESTHER CRUZ-ORTIZ M.D.
NPI 1447363130
Internal Medicine - Nephrology in San Juan, PR

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
COND. TORRE DE AUXLIO MUTUO OFIC. 712, 735 PONCE DE LEON, SAN JUAN, PR 00917(787) 773-8040(787) 773-8041 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nivia Esther Cruz-ortiz M.d. NPPES

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

DR. NIVIA ESTHER CRUZ-ORTIZ M.D. (NPI 1447363130) is an individual nephrology provider in San Juan, Puerto Rico, licensed in Puerto Rico (4705) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1974).

NPPES Registry Identity

NPI1447363130
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NIVIA ESTHER CRUZ-ORTIZCredential: M.D.
Location AddressCOND. TORRE DE AUXLIO MUTUO OFIC. 712, 735 PONCE DE LEONSan Juan, PR 00917
Mailing AddressRr #3 Box 3875 19 Camino Real, Beverly HillsSan Juan, PR 00926-9613 · (787) 396-5360 · Fax (787) 773-8041
Phone(787) 773-8040
Fax(787) 773-8041
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1974
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 21, 2010
✔ NPI 1447363130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 4705
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
COND. TORRE DE AUXLIO MUTUO OFIC. 712, San Juan, PR 00917
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Other Identifiers 2

Medicare ID-Type Unspecified25707PR
Medicare UPINE08197PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nivia Esther Cruz-ortiz M.d. 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 ID8628027687
PECOS Enrollment IDI20050117000266
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services23 patients

Hospital Affiliations CMS Care Compare

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

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims13 services$54.98 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers119 claims21,840 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers63 claims12,180 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers82 claims10,860 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers107 claims107 services$18.25 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers149 claims170 services$12.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nivia Cruz-ortiz's NPI number?

The NPI number for Nivia Cruz-ortiz is 1447363130. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Nivia Cruz-ortiz located?

Nivia Cruz-ortiz practices at Cond. Torre De Auxlio Mutuo Ofic. 712 735 Ponce De Leon, San Juan, PR 00917. The listed phone number is (787) 773-8040.

What is Nivia Cruz-ortiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nivia Cruz-ortiz enrolled in Medicare?

Yes. Nivia Cruz-ortiz 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.

Is Nivia Cruz-ortiz affiliated with any hospitals?

According to CMS data, Nivia Cruz-ortiz is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Nivia Cruz-ortiz was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.