IDELIZ MATOS CRUZ


Address: 162 Ave Fd Roosevelt, San Juan, PR 00918-2406
Phone: 7879032278

IDELIZ MATOS CRUZ (NPI# 1659796407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659796407
Entity Type Individual
Full Name IDELIZ MATOS CRUZ
Credential M.A
Practice Address 162 Ave Fd Roosevelt
San Juan
PR 00918-2406
Mailing Address Saluen 1658
El Cerezal
San Juan
PR 00926
Practice Telephone 7879032278
Mailing Telephone 7879032278
Enumeration Date 2014-03-03
Last Update Date 2014-03-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
5488 PR Behavioral Health & Social Service Providers

Office Location

Street Address 162 AVE FD ROOSEVELT
City SAN JUAN
State PR
Zip Code 00918-2406

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205466943 Zarechly Rodriguez-ruiz Psychologist Urb. Hillside Calle 8, M 6, San Juan, PR 00926 2020-01-22
1528584232 Indhira M Rivas Psychologist 1551 Calle Victoria Santurce, San Juan, PR 00912 2017-08-15
1770038358 Neyssa Ortiz Psychologist 100 Carr 845, Apt 10104, San Juan, PR 00926-4502 2016-08-24
1790138709 Marianne Del Valle Psychologist Cond Plz, 500 Camino Los Pizarros Apt 56, San Juan, PR 00907-4442 2016-07-14
1649679671 Marissa D Cruz Psychologist Universidad Interamericana, Francisco Sein, San Juan, PUERTO RICO 00919 2014-08-14
1487078788 Maria Ortega Psychologist 1664 Calle Guadiana, San Juan, PR 00926-3024 2014-02-07
1700129350 Centro Especializado En Terapias Psychologist 1255 Ave Americo Miranda, San Juan, PR 00921-1619 2013-04-02
1790035269 Karla Mitchelle Narvaez-perez Psychologist Calle Canals 508, San Juan, PR 00918 2012-09-12
1912273053 Jennifer Marie Garcia Psychologist D2 Calle Frontera, Villa Andalucia, San Juan, PR 00926-2507 2012-03-22
1528356722 Wandalisse Ronda Psychologist 268 San Jorge St, Ofic 101, San Juan, PR 00914-6308 2011-07-21
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Competitor

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City SAN JUAN
Zip Code 00918

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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