Active NPI
Jerika Cruz Luna
- Speech-Language Pathologist
- Vega Baja, PR
National Provider Identifier
1528673449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004411-1
- Practice address
- Calle Julian Blanco Sosa # 12
Vega Baja, PR 00693 - Phone
- (939) 496-8979
- Fax
- (787) 858-5151
- NPI assigned
- Sep 9, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004411-1 | PR | Primary |
Addresses
Primary practice location
Calle Julian Blanco Sosa # 12
Vega Baja, PR 00693
Mailing address
Urb. Villa Norma
Calle 4, D-22
Quebradillas, PR 00678
Phone (787) 368-2708
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 |
|---|---|---|---|
| 004411-1 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naranja Dulce Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
12 Calle Blanco Sosa
Vega Baja, PR 00693
Phone (787) 605-5023
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Vega Baja, PR
- NPI 1215542030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1528673449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. VILLA NORMA",
"address_2": "CALLE 4, D-22",
"city": "QUEBRADILLAS",
"state": "PR",
"postal_code": "00678",
"telephone_number": "787-368-2708",
"fax_number": "787-858-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JULIAN BLANCO SOSA # 12",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "939-496-8979",
"fax_number": "787-858-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ LUNA",
"first_name": "JERIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "004411-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.