Active NPI
Vilmarie Cruz
- Clinical Psychologist
- Arecibo, PR
National Provider Identifier
1285056762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5424
- Practice address
- 30
Urb Villa Angela
Arecibo, PR 00612 - Phone
- (787) 517-4885
- NPI assigned
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5424 | PR | Primary |
Addresses
Primary practice location
30
Urb Villa Angela
Arecibo, PR 00612
Mailing address
30
Urb Villa Angela
Arecibo, PR 00612
Phone (787) 517-4885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140923002266 | PR | Practitioner - Psychologist Billing Independently | 7214154384 | Practice locations: Arecibo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1285056762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30",
"address_2": "URB VILLA ANGELA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-517-4885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30",
"address_2": "URB VILLA ANGELA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-517-4885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "VILMARIE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.