Active NPI
Ideliz Matos Cruz, M.A
- School Psychologist
- San Juan, PR
National Provider Identifier
1659796407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 5488
- Practice address
- Urb El Cerezal 1658 Calle Saluen
San Juan, PR 00926 - Phone
- (787) 903-2278
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 5488 | PR | Primary |
Addresses
Primary practice location
Urb El Cerezal 1658 Calle Saluen
San Juan, PR 00926
Mailing address
Saluen 1658
El Cerezal
San Juan, PR 00926
Phone (787) 903-2278
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5488 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Diagnostico Para Inteligencias Multiples | Current | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1508758525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1659796407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SALUEN 1658",
"address_2": "EL CEREZAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-903-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB EL CEREZAL 1658 CALLE SALUEN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-903-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS CRUZ",
"first_name": "IDELIZ",
"credential": "M.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-03",
"last_updated": "2022-09-28",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "5488",
"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 Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.