Individual provider Active NPI

Yadiris Cruz, MS

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1922203256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
735 Issued in PR
Practice address
Proyecto de Autismo Infantil, Filius, Upr
Jardin Botanico Sur 1187 Calle Flamboyan
San Juan, PR 00926-1117
Phone
(787) 765-1351
Fax
(787) 758-2176
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 735 PR Primary

Addresses

Primary practice location

Proyecto de Autismo Infantil, Filius, Upr
Jardin Botanico Sur 1187 Calle Flamboyan
San Juan, PR 00926-1117

Mailing address

Condominio Vista Serena
920 Road 175 Apartment 1501
San Juan, PR 00926-9260
Phone (787) 635-2020

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
735PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922203256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO VISTA SERENA",
            "address_2": "920 ROAD 175 APARTMENT 1501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269260",
            "telephone_number": "787-635-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROYECTO DE AUTISMO INFANTIL, FILIUS, UPR",
            "address_2": "JARDIN BOTANICO SUR 1187 CALLE FLAMBOYAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261117",
            "telephone_number": "787-765-1351",
            "fax_number": "787-758-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "YADIRIS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.

Verify at the official NPI Registry.