Active NPI
Jorge Arturo Cruz-Matos, PSYD
- Clinical Psychologist
- San Juan, PR
National Provider Identifier
1629536222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6202
- Practice address
- Urb. Caribe #1574 Calle Bori
San Juan, PR 00927 - Phone
- (787) 545-4111
- NPI assigned
- Mar 4, 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 Psychologist | 103TC0700X | 6202 | PR | Primary |
Addresses
Primary practice location
Urb. Caribe #1574 Calle Bori
San Juan, PR 00927
Mailing address
HC-5 Box 6172
Aguas Buenas, PR 00703
Phone (787) 436-8551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211129000615 | PR | Practitioner - Psychologist Billing Independently | 0749670131 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6202 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1629536222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC-5 BOX 6172",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "00703",
"telephone_number": "787-436-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. CARIBE #1574 CALLE BORI",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-545-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-MATOS",
"first_name": "JORGE",
"middle_name": "ARTURO",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-04",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "6202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Angel Damian Cruz-de la Cruz, DMD
- Cristina Michelle Cruz-Esteves, PHD
- Iadelisse Cruz-Gonzalez, PHARMD, BCGP
- Jose Javier Cruz-Lozano, MD
- Hiam Cruz-Marchand, MSW
- Nivia Esther Cruz-Ortiz, M.D.
- Migdoel Cruz-Rodriguez, MD
- Omayra Cruz-Rodriguez, M.D.
- Vanessa Cruz-Villegas, M.D.
- Alexandra Marie Cruz, PHARMD,MBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.