Individual provider Active NPI

Lara Cruz Ramos, PSYD

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1184643157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2392 Issued in PR
Practice address
344 Calle Hector Salaman
Extension Roosevelt
San Juan, PR 00918-2112
Phone
(787) 764-8969
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2392 PR Primary

Addresses

Primary practice location

344 Calle Hector Salaman
Extension Roosevelt
San Juan, PR 00918-2112

Mailing address

HD25 Calle Domingo de Andino
Levittown
Toa Baja, PR 00949-3622
Phone (787) 469-6042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050218000168 PR Practitioner - Clinical Psychologist 4082666904 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Calle Ruiz Belvis
San Juan, PR 00917-3701
Phone (787) 764-8969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2392PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Psychiatric Services PSC Past Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184643157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HD25 CALLE DOMINGO DE ANDINO",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493622",
            "telephone_number": "787-469-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CALLE HECTOR SALAMAN",
            "address_2": "EXTENSION ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182112",
            "telephone_number": "787-764-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RAMOS",
        "first_name": "LARA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.