Joan Cruz Rivera, PSY D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6477 Issued in PR

Practice address

70 Calle Munoz Rivera
Juana Diaz, PR 00795-1635

Phone

(787) 901-1825

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jem Psychologists Group Inc.

  • Clinical Psychologist
  • Juana Diaz, PR
  • NPI 1386220572
  Authorized official Same address or phone
• Carlos R Vergne LLC

  • General Practice Physician
  • Juana Diaz, PR
  • NPI 1699535526
  NPD (past)

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1891375382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VALLE ESCONDIDA 66",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-633-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951635",
            "telephone_number": "787-901-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RIVERA",
        "first_name": "JOAN",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "6477",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corporacion Medica de Juana Diaz, Inc.
• Nicole Cortes Escalante, MD
• Heralda Cortes Molina, LND
• Bryan G Cosme Sr.
• Karian Marie Couret
• Sharylan Cruz Rodriguez, NURSE
• Yara T Cruz Santiago, MD
• Marine Cruz, O.D.
• Olga Veronica Cruz, MEDICAL TECHNOLOGIST
• Wendy M Cruz, PHARMD

• Clinical Psychologist in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.