Active NPI
Rebecca Cruz, PSY.D.
- Psychologist
- San Juan, PR
National Provider Identifier
1720355480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001294
- Practice address
- Vista Verde
Apt 702
San Juan, PR 00924-4563 - Phone
- (787) 725-6500
- NPI assigned
- Nov 23, 2011
- Last updated
- Nov 23, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001294 | PR | Primary |
Addresses
Primary practice location
Vista Verde
Apt 702
San Juan, PR 00924-4563
Mailing address
Condominio Vista Verde
Apt 702
San Juan, PR 00902
Phone (787) 725-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001294 | Other | PR | DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001294 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1720355480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO VISTA VERDE",
"address_2": "APT 702",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00902",
"telephone_number": "787-725-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VISTA VERDE",
"address_2": "APT 702",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009244563",
"telephone_number": "787-725-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "001294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "001294",
"state": "PR"
}
],
"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 Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.