Lissette Acevedo Cruz, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2227 Issued in PR

Practice address

Carr 107 # KM 2/5
Plaza Sola del Llano Suite 4
Aguadilla, PR 00603-5970

Phone

(787) 690-8778

NPI assigned

Jun 16, 2008

Last updated

May 13, 2009By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1265692941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4449",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054449",
            "telephone_number": "787-690-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107 # KM 2/5",
            "address_2": "PLAZA SOLA DEL LLANO SUITE 4",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035970",
            "telephone_number": "787-690-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO CRUZ",
        "first_name": "LISSETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Antonio Abreu
• Veronica Abreu
• Jose A Acevedo Acevedo, M.D.
• Luis Antonio Acevedo Aquino, MD
• Jorge Acevedo Canabal, MD
• Luis G Acevedo Lazzarini, MD
• Gisela Acevedo Morales, MD
• Manuel Alejandro Acevedo Pena, MD
• Luis Enrique Acevedo Rodriguez
• Cristina Acevedo Soto, PHARMD

• Clinical Psychologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.