Active NPI
Mariely Cruz
- Social Worker
- San Juan, PR
National Provider Identifier
1598508384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 26164
- Practice address
- Urb. Monterrey 101 Calle Los Andes
San Juan, PR 00926 - Phone
- (787) 347-0164
- NPI assigned
- Jun 18, 2024
- Last updated
- Jun 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 26164 | PR | Primary |
Addresses
Primary practice location
Urb. Monterrey 101 Calle Los Andes
San Juan, PR 00926
Mailing address
RR 9 Box 1628
San Juan, PR 00926-9742
Phone (787) 473-1855
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 |
|---|---|---|---|
| 26164 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1598508384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 9 BOX 1628",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269742",
"telephone_number": "787-473-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. MONTERREY 101 CALLE LOS ANDES",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-347-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "MARIELY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "26164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.