Carlos Javier Nazario-Cruz Sr.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6096 Issued in PR

Practice address

Praderas del Rio
3019 Calle Rio Bucana
Toa Alta, PR 00953

Phone

(787) 617-1114

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Carlos Javier Nazario-Cruz Sr. Former name

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Corozal, PR
  • NPI 1184647851

  Multi-Specialty

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946

  Multi-Specialty

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1306332457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRADERAS DEL RIO",
            "address_2": "3019 CALLE RIO BUCANA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRADERAS DEL RIO",
            "address_2": "3019 CALLE RIO BUCANA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-617-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO-CRUZ",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "NAZARIO-CRUZ",
            "middle_name": "JAVIER",
            "prefix": "DR.",
            "suffix": "SR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Movimed Transport LLC
• MRB Medical Ambulance Services Inc
• Municpio de Toa Alta Oficina de Finanzas
• Joshua Emmanuel Muniz Rodriguez, MS; CCC-SLP
• Liz Michelle Muniz, ND
• NDN Salud CRL
• Marielys Nevarez
• Zuliris Nieves, LCSW
• Nurse Home Care and Hospital Inc
• O&P Solutions LLC

• Clinical Psychologist in Toa Alta, PR
• Providers in Toa Alta, 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 Jul 2, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.