Enmanuel Cruz Pedrero, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5428 Issued in PR

Practice address

500 Carr Dr John W Harris
Universidad Interamericana de PR Suite F202
Bayamon, PR 00957-6257

Phone

(787) 606-4261

NPI assigned

Aug 5, 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

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1548748114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CALLE NARDO",
            "address_2": "ESTANCIAS DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533618",
            "telephone_number": "787-606-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CARR DR JOHN W HARRIS",
            "address_2": "UNIVERSIDAD INTERAMERICANA DE PR SUITE F202",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576257",
            "telephone_number": "787-606-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 CALLE NARDO",
            "address_2": "ESTANCIAS DE LA FUENTE",
            "address_purpose": "LOCATION",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533618",
            "country_code": "US",
            "telephone_number": "787-606-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ PEDRERO",
        "first_name": "ENMANUEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-05",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirian Cruz Cruz
• Solange Cruz de Hostos, MD
• Kattya Dinora Cruz Lopez, MD
• Jose Enrique Cruz Orengo, DC
• Javier Antonio Cruz Ortiz, DC
• Hazel Marie Cruz Perez
• Yanissa Nicole Cruz Ramos
• Sigdan Gabriel Cruz Rios, MD
• Denisse Cruz Rivera, PHARM.D.
• Luis J Cruz Rivera, MD

• Clinical Psychologist in Bayamon, PR
• Providers in Bayamon, 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 Dec 17, 2025; 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.