Laurangelica Cruz, PSYD
Individual provider Active NPI Psychologist · Hatillo, PR
NPI 1669104352 · NPPES record last updated Jun 30, 2022
Key facts
- NPI
- 1669104352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 7336 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220901003264 | PR | Practitioner - Clinical Psychologist | 5092199422 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Psicoterapia | Psychologist | Current |
Accepting new patients |
Locations
500 Carr 129
#254
Lares, PR 00669
502 Ave Los Patriotas
Lares, PR 00669
Phone (787) 897-2518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 7336 | PR | Yes |
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
Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.