Individual provider Active NPI

Raquel Cruz Belen

  • Clinical Psychologist
  • San German, PR
National Provider Identifier
1235445115
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3744 Issued in PR
Practice address
Calle Alfonso XII Esq. Ave. Interamericana
Suite 1
San German, PR 00683
Phone
(787) 892-9911
Fax
(787) 892-9911
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 103TC0700X PR
Clinical Psychologist 103TC0700X 3744 PR Primary

Addresses

Primary practice location

Calle Alfonso XII Esq. Ave. Interamericana
Suite 1
San German, PR 00683

Mailing address

7 Estancias de San Andres
Sabana Grande, PR 00637
Phone (787) 396-4698

Other identifiers 1

IdentifierTypeStateIssuer
2626785OtherPRLICENSE

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
I20110420000467 PR Practitioner - Clinical Psychologist 6901081793 Practice locations: San German, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103TC0700XPRMDBehavioral Analyst
3744PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rovico Health Care Administrative and Consulting Services Inc Past Accepting new patients
Rovico Healthcare Administrative and Consulting Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1235445115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ESTANCIAS DE SAN ANDRES",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-396-4698",
            "fax_number": "787-873-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ALFONSO XII ESQ. AVE. INTERAMERICANA",
            "address_2": "SUITE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-9911",
            "fax_number": "787-892-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ BELEN",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PR",
            "license": "103TC0700X",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2626785",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.