Individual provider Active NPI

Laurangelica Cruz, PSYD

  • Psychologist
  • Hatillo, PR
National Provider Identifier
1669104352
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7336 Issued in PR
Practice address
Carr 134 KM 13.1 Int Calle a #35
Bo. Bayaney Parc Angel Velez
Hatillo, PR 00659
Phone
(787) 242-4202
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 7336 PR Primary

Addresses

Primary practice location

Carr 134 KM 13.1 Int Calle a #35
Bo. Bayaney Parc Angel Velez
Hatillo, PR 00659

Mailing address

HC 7 Box 31966
Hatillo, PR 00659-9313
Phone (787) 242-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003264 PR Practitioner - Clinical Psychologist 5092199422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Psicoterapia Psychologist CurrentSince Aug 8, 2022 Accepting new patients

Locations

500 Carr 129
#254
Lares, PR 00669

502 Ave Los Patriotas
Lares, PR 00669
Phone (787) 897-2518

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1669104352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 31966",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599313",
            "telephone_number": "787-242-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 134 KM 13.1 INT CALLE A #35",
            "address_2": "BO. BAYANEY PARC ANGEL VELEZ",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-242-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LAURANGELICA",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.