Rafael Cruz Mena, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6011 Issued in PR

Practice address

Calle Garcia de la Nosede
Aps Clinico of PR Inc Rio Grande
Rio Grande, PR 00745

Phone

(787) 887-6110

Fax

(787) 641-2749

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033149661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71474",
            "address_2": "APS PROVEEDORES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE GARCIA DE LA NOSEDE",
            "address_2": "APS CLINICO OF PR INC RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-6110",
            "fax_number": "787-641-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MENA",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ivellise Correa, RPHTECH
• Marisol Cortes Hernandez, PHARMACIST
• Emmanuel Eduardo Cortes Nunez, MD
• Reynaldo Cosme
• Elizabeth Crespo
• Jenise Cruz Rodriguez, MD
• Lilliam Milagros Cruz, RN CRRN
• CSJJ Marketing Inc
• Ana I Davila, OTR
• Jahgen De Jesus-Calcano

• Psychiatry Physician in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.