Active NPI
Edith Cruz, PRACTICAL NURSE
- Licensed Practical Nurse
- Mayaguez, PR
National Provider Identifier
1801003017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 6770
- Practice address
- Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522 - Phone
- (787) 833-0663
- Fax
- (787) 833-1371
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 6770 | PR | Primary |
Addresses
Primary practice location
Centro Salud Mental de Mayaguez
410 Ave Hostos Suite 7
Mayaguez, PR 00682-1522
Mailing address
Barrio Leguizamo
HC-6 Box 59423
Mayaguez, PR 00680
Phone (787) 833-0663
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801003017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BARRIO LEGUIZAMO",
"address_2": "HC-6 BOX 59423",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-833-0663",
"fax_number": "787-833-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO SALUD MENTAL DE MAYAGUEZ",
"address_2": "410 AVE HOSTOS SUITE 7",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821522",
"telephone_number": "787-833-0663",
"fax_number": "787-833-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "EDITH",
"name_prefix": "Mrs.",
"credential": "PRACTICAL NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PR",
"license": "6770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, 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.