Active NPI
Juan Pablo Cruz, PH.D.
- Clinical Psychologist
- Bayamon, PR
National Provider Identifier
1154734770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5429
- Practice address
- Edif Medico
Bayamon, PR 00959-5041 - Phone
- (787) 798-4592
- Fax
- (787) 798-8236
- NPI assigned
- Jun 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5429 | PR | Primary |
Addresses
Primary practice location
Edif Medico
Bayamon, PR 00959-5041
Mailing address
PO Box 8129
Bayamon, PR 00960-8129
Phone (787) 798-4592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
73 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 798-4592
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Behavioral PSC | Current | Accepting new patients | |
| Sylma Batista MD PSC | Past | Accepting new patients |
Locations
73 Calle Santa Cruz
Ste 212
Bayamon, PR 00961
Phone (787) 798-2170
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Bayamon, PR
- NPI 1851625248
-
- Geriatric Psychiatry Physician
- Bayamon, PR
- NPI 1841564192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441584000000",
"number": "1154734770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8129",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009608129",
"telephone_number": "787-798-4592",
"fax_number": "787-798-8236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF MEDICO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009595041",
"telephone_number": "787-798-4592",
"fax_number": "787-798-8236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JUAN",
"middle_name": "PABLO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-11",
"last_updated": "2015-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.