Active NPI
Ramon Angel Ortiz Cruz Sr., DR.
- Psychologist
- Mayaguez, PR
National Provider Identifier
1972298909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6100
- Practice address
- Medical Emporium 351 Suite 203 Piso 2
Mayaguez, PR 00680 - Phone
- (787) 376-7589
- NPI assigned
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6100 | PR | Primary |
Addresses
Primary practice location
Medical Emporium 351 Suite 203 Piso 2
Mayaguez, PR 00680
Mailing address
PO Box 3
Sabana Grande, PR 00637-0003
Phone (787) 974-8288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IW427A | Medicaid | PR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6100 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1972298909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006370003",
"telephone_number": "787-974-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL EMPORIUM 351 SUITE 203 PISO 2",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-376-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ CRUZ",
"first_name": "RAMON",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DR.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-06",
"last_updated": "2023-04-06",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "6100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IW427A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
- Grace Marie Orta Vazquez, MD
- Faviolla Paullette Ortega Rivera
- Myrna Ivelisse Ortega
- Orthodontic Centers of Puerto Rico Inc.
- Orthodontics Associates, LLC
- Marimar Ortiz Gomez
- Joel Enrique Ortiz Guerrero, MD
- Tanya Ortiz Hernandez, MD
- Glorianne Yellie Ortiz Martinez, PA
- Hector Luis Ortiz Martinez, MD FAAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.