Individual provider Active NPI

Yamilette Y Molina Cruz

  • Clinical Psychologist
  • Villalba, PR
National Provider Identifier
1962739615
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3267 Issued in PR
Practice address
67 Calle Munoz Rivera
Villalba, PR 00766-3048
Phone
(787) 228-0000
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3267 PR Primary
Counseling Psychologist 103TC1900X 3267 PR

Addresses

Primary practice location

67 Calle Munoz Rivera
Villalba, PR 00766-3048

Mailing address

PO Box 960
Villalba, PR 00766-0960
Phone (787) 943-8081

Other practice location 1

Calle Matilde
# 3
Coamo, PR 00769
Phone (787) 803-2311

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180309001967 PR Practitioner - Clinical Psychologist 3971864828 Practice locations: Villalba, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3267PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1962739615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007660960",
            "telephone_number": "787-943-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE MUNOZ RIVERA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007663048",
            "telephone_number": "787-228-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE MATILDE",
            "address_2": "# 3",
            "address_purpose": "LOCATION",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "country_code": "US",
            "telephone_number": "787-803-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA CRUZ",
        "first_name": "YAMILETTE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3267",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "3267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

Verify at the official NPI Registry.