Active NPI
Julio Angel Cruz, EDD
- Mental Health Counselor
- San German, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4155
- Practice address
- Calle Gamboa 1 Esq Gamboa Bo Ancones Oficina 2
San German, PR 00683-0068 - Phone
- (787) 328-1359
- NPI assigned
- Oct 20, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4155 | PR | Primary |
Addresses
Primary practice location
Calle Gamboa 1 Esq Gamboa Bo Ancones Oficina 2
San German, PR 00683-0068
Mailing address
Sabana Eneas Calle 17 #418
San German, PR 00683
Phone (787) 212-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI, IA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1174305486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SABANA ENEAS CALLE 17 #418",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-212-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE GAMBOA 1 ESQ GAMBOA BO ANCONES OFICINA 2",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006830068",
"telephone_number": "787-328-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JULIO",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PR",
"license": "4155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.