Active NPI
Julio Angel Cruz Tirado, MCSW
- Clinical Social Worker
- San German, PR
National Provider Identifier
1598325656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14485
- Practice address
- Calle Ferrocarril #1, Esq. Gamboa
Bo. Ancones
San German, PR 00683 - Phone
- (787) 903-1852
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- 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 | 14485 | PR | Primary |
Addresses
Primary practice location
Calle Ferrocarril #1, Esq. Gamboa
Bo. Ancones
San German, PR 00683
Mailing address
418 Calle 17
Sabana Eneas
San German, PR 00683
Phone (787) 449-7432
Other practice location 1
21 Calle Francisco Mariano Quinones
Sabana Grande, PR 00637
Phone (787) 903-1852
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14485 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1598325656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 CALLE 17",
"address_2": "SABANA ENEAS",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-449-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE FERROCARRIL #1, ESQ. GAMBOA",
"address_2": "BO. ANCONES",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-903-1852"
}
],
"practiceLocations": [
{
"address_1": "21 Calle Francisco Mariano Quinones",
"address_purpose": "LOCATION",
"city": "Sabana Grande",
"state": "PR",
"postal_code": "00637",
"country_code": "US",
"telephone_number": "787-903-1852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ TIRADO",
"first_name": "JULIO",
"middle_name": "ANGEL",
"name_prefix": "Mr.",
"credential": "MCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2022-07-12",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.