Omar Antonio Samot Cruz Sr.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

7453 Issued in PR

Practice address

121 Ruta 474
Isabela, PR 00662-4023

Phone

(939) 323-0563

NPI assigned

Jul 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Grupo de Bienestar Y Desarrollo Integral LLC

  • Psychologist
  • Aguada, PR
  • NPI 1366384265
  NPD Authorized official
• Integralis Services LLC

  • Psychologist
  • Isabela, PR
  • NPI 1811753155
  NPD
• Laboratorio Clinicio Prosalud Isabela PSC

  • Clinical Medical Laboratory
  • Isabela, PR
  • NPI 1568805489
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1184359804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2537",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006629537",
            "telephone_number": "939-717-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUTA 474",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624023",
            "telephone_number": "939-323-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOT CRUZ",
        "first_name": "OMAR",
        "middle_name": "ANTONIO",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Ruiz, BSNRN
• S & R Hospice, Corporation
• Manuel Salgado
• Salud Psicointegral Y Accion Educativa, CSP
• Ervin Alfredo Salva Aymat, M.D.
• Sana Clinica de Terapia Fisica Y Rehabilitacion LLC
• Sugein Dalines Sanchez Rosado
• Daisy Sanchez
• Fernando Sanchez
• Mirelys Sanchez

• Counseling Psychologist in Isabela, PR
• Providers in Isabela, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.