Leslie Criado, PSYD, MSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6038 Issued in PR

Practice address

Chardon Ave Angel Ramos Foundation 2
Aps Healthcare PR
San Juan, PR 00918

Phone

(787) 641-0773

Fax

(787) 641-0776

NPI assigned

Jan 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR2 enrollments

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 2

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.

• Blvd Psychological Services P.S.C.

  • Multi-Specialty Clinic/Center
  • Toa Baja, PR
  • NPI 1174023535

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1487984530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 AVE BOULEVARD",
            "address_2": "3RA SECC LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "939-275-3335",
            "fax_number": "787-261-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHARDON AVE ANGEL RAMOS FOUNDATION 2",
            "address_2": "APS HEALTHCARE PR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-641-0773",
            "fax_number": "787-641-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3326 Ave Boulevard",
            "address_2": "3ra Secc Levittown",
            "address_purpose": "LOCATION",
            "city": "Toa Baja",
            "state": "PR",
            "postal_code": "00949",
            "country_code": "US",
            "telephone_number": "939-275-3335",
            "fax_number": "787-261-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRIADO",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PSYD, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Sohely Crespo, LND
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• Shakira Natasha Crespo
• Yaliex Crespo
• Jefferson Armando Criollo Paute, MD
• Paola Nicole Cristobal Luciano
• Critical Care Medicine Services, Inc.
• Critical Pulmonary Medical Services
• CRM Health Providers,LLS

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, 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 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.