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CARLOS J FERNANDEZ-CRUZ MD
NPI 1699192765
Internal Medicine - Gastroenterology in San Juan, PR

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
1801 AVE PONCE DE LEON STE 409-410, SAN JUAN, PR 00909(939) 338-0793 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2022, Jul 14, 2020, Jun 22, 2020 and 1 more (4 updates tracked since 2020).

About Carlos J Fernandez-cruz Md NPPES

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

CARLOS J FERNANDEZ-CRUZ MD (NPI 1699192765) is an individual gastroenterology provider in San Juan, Puerto Rico, licensed in Puerto Rico (19622) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699192765
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameCARLOS J FERNANDEZ-CRUZCredential: MD
Location Address1801 AVE PONCE DE LEON STE 409-410San Juan, PR 00909-1900
Mailing Address400 Ave Fd Roosevelt, Ste 408San Juan, PR 00918-2163 · (787) 765-1919 · Fax (787) 751-8739
Phone(939) 338-0793
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2014
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1699192765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PR · 19622
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Other Identifiers 1

Medicaid038174400PR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Carlos J Fernandez-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 ID840628889
PECOS Enrollment IDI20200325001140
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

3

Medicare enrollment records show Carlos Fernandez-cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlos J Fernandez Cruz LLC
Gastroenterology
1801 AVE PONCE DE LEON STE 409-410
San Juan, PR 00909
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1770219388 (939) 338-0793
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
Salud Integral En La Montana, Inc.
Radiology
CARR 167 KM 17.8, BO. PAJAROS PUERTORRIQUENOS
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 141 clinicians in this Medicare group
NPI 1306327341 (787) 869-5900

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 2

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.
18 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00909 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS J FERNANDEZ CRUZ LLC
Internal Medicine (Gastroenterology)
1801 AVE PONCE DE LEON STE 409-410
SAN JUAN, PR 00909
San Juan Municipio (939) 338-0793

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 Carlos Fernandez-cruz's NPI number?

The NPI number for Carlos Fernandez-cruz is 1699192765. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Carlos Fernandez-cruz located?

Carlos Fernandez-cruz practices at 1801 Ave Ponce De Leon Ste 409-410, San Juan, PR 00909. The listed phone number is (939) 338-0793.

What is Carlos Fernandez-cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Carlos Fernandez-cruz enrolled in Medicare?

Yes. Carlos Fernandez-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 Carlos Fernandez-cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Fernandez-cruz reassigns Medicare benefits to 3 organizations: Carlos J Fernandez Cruz LLC (San Juan, PR), Centro Medico Del Turabo Inc (Caguas, PR) and Salud Integral En La Montana, Inc. (Bayamon, PR). 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 Carlos Fernandez-cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carlos Fernandez-cruz was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.