Cruz also finished 4th at the 1991 Boston Marathon and 23rd at the 1993 New York City Marathon. At other marathon events, Cruz placed 5th at the 1995 Summer Universiade and 42nd at the 1999 World Championships in Athletics. In overall points, Cruz was first in the 1993 "Runner's World" men's rankings based on his 1992 race finishes. Cruz continued to run primarily in North America until his last marathon in 2009.