Jorge Alberto Cruz Seda, Ma, PH.D.C, 1991
Individual provider Active NPI Clinical Psychologist · Utuado, PR
NPI 1861721680 · NPPES record last updated Feb 11, 2011
Key facts
- NPI
- 1861721680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1991 (PR)
- Practice address
- 14 Calle Cristobal Colon
Utuado, PR 00641-2838 - Phone
- (787) 538-7557
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1991 | PR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1991 | PR | Yes |
| Behavior Analyst | 103K00000X | 1991 | PR | |
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Pastoral Counselor | 101YP1600X |
Addresses
Primary practice location
14 Calle Cristobal Colon
Utuado, PR 00641-2838
Mailing address
PO Box 1553
Utuado, PR 00641-1553
Phone (787) 538-7557
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107885 | Other | PR | PUERTO RICO DEPT. OF HEALTH, HEALTH SERVICES PERSONNEL REGISTER NUMBER |
| 1991 | Other | PR | PSYCHOLOGIST LICENSE FROM PUERTO RICO DEPT. OF HEALTH |
Other names
- Dr. Jorge Alberto Cruz Seda, Ma, PH.D.C
Other providers in Utuado, PR
- Jose Antonio Cortes Jr.
- Luis Rafael Cortes
- Hector M. Cott Rosario
- Jixiabel Crespo Soto
- Frances Diane Cruz de Jesus
- Rafael Cruz-Tirado
- Ashley Cruz
- Maria Alejandra Cuautli Rodriguez
- Liliana Cuevas Perez
- Carlos I Cuevas
All providers in Utuado, PR · Clinical Psychologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.