Johaan De la Cruz, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3459 Issued in PR

Practice address

55 Calle Dr Basora N
Edf. Medico IV of. 201
Mayaguez, PR 00680-4810

Phone

(787) 265-5583

Fax

(787) 265-8145

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Opciones Psicoeducativas

  • Psychologist
  • Mayaguez, PR
  • NPI 1902964760
  NPD (past)
• Opciones Psicoeducativas Inc

  • Clinic/Center
  • Mayaguez, PR
  • NPI 1679233597
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1851601017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N",
            "address_2": "EDF. MEDICO IV OF. 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804810",
            "telephone_number": "787-265-5583",
            "fax_number": "787-265-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N",
            "address_2": "EDF. MEDICO IV OF. 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804810",
            "telephone_number": "787-265-5583",
            "fax_number": "787-265-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "JOHAAN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "3459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSICHOLOGIST LICENT",
            "identifier": "3459",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zully Rubi De Jesus Rivera, DDS
• De Jesus-Torres, Gastroenterologos del Oeste, CSP
• Jorge R. De Jesus, M.D.
• Raquel De Jesus, PHD
• Rolando De la Cruz Velez
• Minerva De Santiago, BSPH
• Jose M Del Rio Ferrer, MD
• Teresa Pilar Del Rio Montesinos, MD
• Del Rio Y Montesinos CSP
• Daiana Paola Del Rio

• All providers in Mayaguez, PR
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.