Individual provider Active NPI

Luis Miguel Cadiz Jr., MD

  • Counseling Psychologist
  • Guaynabo, PR
National Provider Identifier
1619405826
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5770 Issued in PR
Practice address
2100 Calle Turquesa Bucare
Guaynabo, PR 00970-3563
Phone
(787) 404-5933
NPI assigned
Jun 1, 2017
Last updated
Jun 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 5770 PR
Counseling Psychologist 103TC1900X 5770 PR Primary

Addresses

Primary practice location

2100 Calle Turquesa Bucare
Guaynabo, PR 00970-3563

Mailing address

222 Calle San Felipe
Urb Lirios Cala
Juncos, PR 00777
Phone (787) 404-5826

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5770PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo de Servicios Especializados En Psicologia E Intergativos Corp Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1619405826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CALLE SAN FELIPE",
            "address_2": "URB LIRIOS CALA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-404-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CALLE TURQUESA BUCARE",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703563",
            "telephone_number": "787-404-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIZ",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "name_prefix": "Prof.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PR",
            "license": "5770",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.