Lucille E Cruz, PH.D.

Individual provider Active NPI Clinical Psychologist · Hato Rey, PR

NPI 1528215480 · NPPES record last updated Sep 21, 2009

Key facts

NPI
1528215480
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2464 (PR)
Practice address
Ave Hostos
Edif 435 &405
Hato Rey, PR 00918
Phone
(787) 439-8385
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2464PRMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2464 PR Yes

Addresses

Primary practice location

Ave Hostos
Edif 435 &405
Hato Rey, PR 00918

Mailing address

Urb. Vistas del Bosque
Box 62
Bayamon, PR 00957
Phone (787) 439-8385

Other providers in Hato Rey, PR

All providers in Hato Rey, PR · Clinical Psychologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.