Individual provider Active NPI

Cristina Marie Perez Brugman, PSYD

  • Clinical Psychologist
  • Manati, PR
National Provider Identifier
1245129865
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8498 Issued in PR
Practice address
200 Carretera 2
Pedro Blanco Lugo I Oficina 203
Manati, PR 00674-8513
Phone
(787) 854-0555
NPI assigned
Jun 30, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 8498 PR Primary

Addresses

Primary practice location

200 Carretera 2
Pedro Blanco Lugo I Oficina 203
Manati, PR 00674-8513

Mailing address

200 Carretera 2
Pedro Blanco Lugo I Oficina 203
Manati, PR 00674-8513
Phone (787) 854-0555

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
I20251009004787 PR Practitioner - Clinical Psychologist 5991202335 Reassigns benefits to 2 organizations
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Ave Arterial Hostos Box
11 Cond Golden Court 1 Edif. D 2
San Juan, PR 00918-8513

200 Carr
Suite 2
Manati, PR 00674

200 Carr
Suite 2
Manati, PR 00674-4863
Phone (787) 854-0555

PO Box
Caguas, PR 00726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8498PRMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RR Psych PSC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Oct 4, 2025 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Oct 4, 2025 Accepting new patients
Inspira Psychiatric Services PSC Past Accepting new patients
Instituto Psicoterapeutico de PR PastSince Oct 4, 2025 Accepting new patients

Locations

2 Calle Munoz Rivera
Ste 309
Caguas, PR 00725
Phone (787) 746-6764

431 Ave Hostos
San Juan, PR 00918
Phone 7877539515226

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1245129865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARRETERA 2",
            "address_2": "PEDRO BLANCO LUGO I OFICINA 203",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006748513",
            "telephone_number": "787-854-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARRETERA 2",
            "address_2": "PEDRO BLANCO LUGO I OFICINA 203",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006748513",
            "telephone_number": "787-854-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BRUGMAN",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.