Active NPI
Yamir Cruz
- Clinical Social Worker
- Cidra, PR
National Provider Identifier
1518590462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10219
- Practice address
- Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739 - Phone
- (787) 739-8182
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 Social Worker | 1041C0700X | 10219 | PR | Primary |
Addresses
Primary practice location
Ave El Jibaro Carr 172 KM 13.5
Cidra, PR 00739
Mailing address
Urb Jose Severo Quinones
51 Jose de Diego St
Carolina, PR 00985
Phone (787) 313-7370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10219 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cossma, Inc. | Past | Accepting new patients | |
| Cossma | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGGFBD
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Cidra, PR
- NPI 1184026221
-
- Clinical Medical Laboratory
- Humacao, PR
- NPI 1407408347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1518590462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB JOSE SEVERO QUINONES",
"address_2": "51 JOSE DE DIEGO ST",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-313-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE EL JIBARO CARR 172 KM 13.5",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-739-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "YAMIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "10219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.