Active NPI
Karina Lissette Cruz Serrano, MSC
- Counseling Psychologist
- Humacao, PR
National Provider Identifier
1558097782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 7785
- Practice address
- Calle Padre Rivera 15 Oeste
Humacao, PR 00791 - Phone
- (787) 529-1559
- NPI assigned
- Jul 29, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 7785 | PR | Primary |
| Health Educator | 174H00000X | 6435036 |
Addresses
Primary practice location
Calle Padre Rivera 15 Oeste
Humacao, PR 00791
Mailing address
PO Box 7793
Ponce, PR 00732-7793
Phone (787) 284-5884
Other practice location 1
Condominio San Vicente Suite 307 8169 Calle Concordia
Ponce, PR 00717
Phone (787) 284-5884 ext. 261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6435036 | Other | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kcruz@centroararat.org | Direct | Centro Ararat Inc |
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 |
|---|---|---|---|
| 7785 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1558097782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7793",
"city": "PONCE",
"state": "PR",
"postal_code": "007327793",
"telephone_number": "787-284-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PADRE RIVERA 15 OESTE",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-529-1559"
}
],
"practiceLocations": [
{
"address_1": "Condominio San Vicente Suite 307 8169 Calle Concordia",
"address_purpose": "LOCATION",
"city": "Ponce",
"state": "PR",
"postal_code": "00717",
"country_code": "US",
"telephone_number": "787-284-5884 x261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ SERRANO",
"first_name": "KARINA",
"middle_name": "LISSETTE",
"name_prefix": "Ms.",
"credential": "MSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "7785",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": "6435036",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6435036",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kcruz@centroararat.org",
"affiliation": "Y",
"affiliationName": "Centro Ararat Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Condominio San Vicente Suite 307 8169 Calle Concordia",
"city": "Ponce",
"state": "PR",
"country_code": "US",
"postal_code": "00717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.