Organization Active NPI

Villacruz Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
National Provider Identifier
1629991526
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VILLACRUZ CLINIC LLC
Practice address
1100 Ave Ponce de Leon Ste 204
San Juan, PR 00925-2922
Phone
(787) 557-3594
NPI assigned
Jul 30, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Omayra Villafane Cruz, PSYD
Title
Clinical Psychologist
Phone
(787) 557-3594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1100 Ave Ponce de Leon Ste 204
San Juan, PR 00925-2922

Mailing address

1100 Ave Ponce de Leon Ste 204
San Juan, PR 00925-2922
Phone (787) 557-3594

National Provider Directory

National Provider Directory

Locations

1100 Ave Ponce de Leon
Ste 204
San Juan, PR 00925
Phone (787) 667-9359

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1629991526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 AVE PONCE DE LEON STE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252922",
            "telephone_number": "787-557-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 AVE PONCE DE LEON STE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252922",
            "telephone_number": "787-557-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLACRUZ CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE CRUZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "787-557-3594",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Jul 30, 2026; 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.