Ileana Cruz Colon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12802 Issued in PR

Practice address

126 Vista Hermosa
Cidra, PR 00739-2269

Phone

(939) 227-3755

NPI assigned

Jan 6, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1164752614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 VISTA HERMOSA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007392269",
            "telephone_number": "939-227-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 VISTA HERMOSA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007392269",
            "telephone_number": "939-227-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ COLON",
        "first_name": "ILEANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PR",
            "license": "16670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cotto Rivera
• Roalba Cotto Rodriguez, M.D.
• Adriana Cotto Cotto
• Brenda L Cotto, SLP
• Stephanie J Cotto, MSW
• Andrea Mabel Cruz Gonzalez
• Nicole Marie Cruz Rivera I, LND
• Lizaida Cruz Sosa
• Yamir Cruz
• Marie N Cuilan, PHYSICAL THERAPY

• Clinical Social Worker in Cidra, PR
• Providers in Cidra, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.