Individual provider Active NPI

Maria Cristina Cruz Miranda, PSY D

  • Clinical Psychologist
  • Caguas, PR
National Provider Identifier
1730380163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2742 Issued in PR
Practice address
17103 Urb Serenna
Caguas, PR 00727-3335
Phone
(787) 730-1925
Fax
(787) 730-9739
NPI assigned
May 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2742 PR Primary

Addresses

Primary practice location

17103 Urb Serenna
Caguas, PR 00727-3335

Mailing address

17103 Urb Serenna
Caguas, PR 00727-3335
Phone (787) 730-1925

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

LicenseStateTypeSpecialty
2742PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brains in Motion LLC 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, 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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730380163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17103 URB SERENNA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273335",
            "telephone_number": "787-730-1925",
            "fax_number": "787-730-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17103 URB SERENNA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273335",
            "telephone_number": "787-730-1925",
            "fax_number": "787-730-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ MIRANDA",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.