Active NPI
Roy Gerardo Cruz Leon
- Psychologist
- Cayey, PR
National Provider Identifier
1154744142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5426
- Practice address
- HC 45 Box 13846
Cayey, PR 00736-9779 - Phone
- (939) 325-3255
- NPI assigned
- Jan 27, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5426 | PR | Primary |
Addresses
Primary practice location
HC 45 Box 13846
Cayey, PR 00736-9779
Mailing address
Urb Olympic Ville Calle Sydney Buzon 96
Las Piedras, PUERTO RICO 00771
UM
Phone (939) 325-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5426 | PR | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1154744142",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "URB OLYMPIC VILLE CALLE SYDNEY BUZON 96",
"city": "LAS PIEDRAS",
"state": "PUERTO RICO",
"postal_code": "00771",
"telephone_number": "939-325-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 45 BOX 13846",
"city": "CAYEY",
"state": "PR",
"postal_code": "007369779",
"telephone_number": "939-325-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ LEON",
"first_name": "ROY",
"middle_name": "GERARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.