Healthcare Provider Details

I. General information

NPI: 1205755519
Provider Name (Legal Business Name): ADLIN CRUZ COLON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CALLE ANDRES ARUS RIVERA W
GURABO PR
00778-2321
US

IV. Provider business mailing address

403 CALLE MYRTA SILVA
JUNCOS PR
00777-7810
US

V. Phone/Fax

Practice location:
  • Phone: 939-891-0533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number009012
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: