Individual provider Active NPI

Cesar E Cruz, MSW, TACIII, PHD(C)

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1790888121
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8320 Issued in PR
Practice address
Urb Las Monjitas
207 Monasterio St
Ponce, PR 00730-3907
Phone
(787) 202-8225
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 05-20-6983 PR
Clinical Social Worker 1041C0700X 8320 PR Primary

Addresses

Primary practice location

Urb Las Monjitas
207 Monasterio St
Ponce, PR 00730-3907

Mailing address

Urb Las Monjitas
207 Monasterio St
Ponce, PR 00730-3907
Phone (787) 202-8225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8320PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cornerstones Inc Past 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1790888121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS MONJITAS",
            "address_2": "207 MONASTERIO ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303907",
            "telephone_number": "787-202-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LAS MONJITAS",
            "address_2": "207 MONASTERIO ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303907",
            "telephone_number": "787-202-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CESAR",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSW, TACIII, PHD(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "05-20-6983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.