Individual provider Active NPI

Jennifer Morales Cruz, PHD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1174056717
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5835 Issued in PR
Practice address
1801 Ave Ponce de Leon Ste 411
San Juan, PR 00909-1917
Phone
(787) 922-4664
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5835 PR Primary

Addresses

Primary practice location

1801 Ave Ponce de Leon Ste 411
San Juan, PR 00909-1917

Mailing address

475 Calle Cesar Gonzalez
San Juan, PR 00918-2637
Phone (787) 922-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1174056717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CALLE CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182637",
            "telephone_number": "787-922-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVE PONCE DE LEON STE 411",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091917",
            "telephone_number": "787-922-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES CRUZ",
        "first_name": "JENNIFER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.