Active NPI
Rosa H Cruz, LIC.
- Counseling Psychologist
- Fajardo, PR
National Provider Identifier
1639515083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3996
- Practice address
- Urb. Baralt Calle Marginal a 49
Fajardo, PR 00738-3759 - Phone
- (787) 801-2966
- NPI assigned
- May 13, 2013
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3996 | PR | Primary |
Addresses
Primary practice location
Urb. Baralt Calle Marginal a 49
Fajardo, PR 00738-3759
Mailing address
P.O. Box 1292
Ceiba, P.R. 00735
UM
Phone (787) 633-4859
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 |
|---|---|---|---|
| 3996 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1639515083",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "P.O. BOX 1292",
"city": "CEIBA",
"state": "P.R.",
"postal_code": "00735",
"telephone_number": "787-633-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. BARALT CALLE MARGINAL A 49",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007383759",
"telephone_number": "787-801-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ROSA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "LIC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.