DR. ABDIEL CRUZ-LOUBRIEL M.D.
NPI 1326005364
Internal Medicine - Gastroenterology in Guaynabo, PR

NPI Status: Active since April 26, 2006

Contact Information

11 CALLE CARAZO
GUAYNABO, PR
ZIP 00969
Phone: (787) 220-4053

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  • Individual
  • Male
  • Years of Experience 23
  • Internal Medicine
  • Gastroenterology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ABDIEL CRUZ-LOUBRIEL

This page provides the complete NPI Profile along with additional information for Abdiel Cruz-loubriel, an internist established in Guaynabo, Puerto Rico with a medical specialization in Internal Medicine, focusing in gastroenterology and more than 23 years of experience. He graduated from University Of Puerto Rico School Of Medicine in 2003. The healthcare provider is registered in the NPI registry with number 1326005364 assigned on April 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 15922 (PR). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1326005364
Provider Name
DR. ABDIEL CRUZ-LOUBRIEL M.D.
Gender
Male
Entity Type
Individual
Location Address
11 CALLE CARAZO GUAYNABO, PR 00969
Location Phone
(787) 220-4053
Mailing Address
194 CALLE ALMENDRO FINCA ELENA GUAYNABO, PR 00971
Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
04-26-2006
Last Update Date
12-12-2013
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An internist like Abdiel Cruz-loubriel is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
15922
License State
PR
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208D00000XAllopathic & Osteopathic Physicians

General Practice

15922 (PR)

Medicare Participation & PECOS Enrollment Status

Abdiel Cruz-loubriel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Abdiel Cruz-loubriel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890717110

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20051229000377

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 404 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 54 times for 33 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

This service was performed 22 times for 19 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 14 times for 14 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 197 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.06 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00969 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.65
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.24
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $25.06
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ABDIEL CRUZ-LOUBRIEL M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326005364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23460010312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 0 + 0 + 1 + 0 + 3 + 1 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1326005364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003144569RVW GASTROENTEROLOGY PSC
Organization
Internal Medicine (Gastroenterology)11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 220-4053
1720071483DR. JOSE CARLOS REYES-PENA MD
Individual
Internal Medicine (Cardiovascular Disease)11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 235-6354
1225527542NUCLEAR SCAN PSC
Organization
Nuclear Medicine (Nuclear Cardiology)11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 642-7489
1114413259REVIVE QUIROPRACTICA, LLC
Organization
Chiropractor11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 430-5357
1558723593DR. ELDY FRANCESCHI-SANTIAGO D.C.
Individual
Chiropractor11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 430-5357
1104338961 PAULINA BARQUERO SOTOMAYOR DC
Individual
Chiropractor11 CALLE CARAZO
GUAYNABO, PR 00969
(787) 998-5990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326005364, enumerated in the NPI registry as an "individual" on April 26, 2006

The provider is located at 11 Calle Carazo Guaynabo, Pr 00969 and the phone number is (787) 220-4053

The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology

The provider has more than 23 years of experience. He graduated from University Of Puerto Rico School Of Medicine in 2003.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $130.65 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.24 and an average copayment of 25.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Colonoscopy, Established patient office or other outpatient visit, 20-29 minutes, Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, New patient office or other outpatient visit, 30-44 minutes and Upper gastrointestinal (GI) endoscopy for acid reflux.

This NPI record was last updated on April 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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