Healthcare Provider Details

I. General information

NPI: 1386501583
Provider Name (Legal Business Name): ANA MARGARITA CRUZ ANDUJAR PSICOLOGIA CLINICA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 4 BOX 41502
HATILLO PR
00659-8330
US

IV. Provider business mailing address

HC 4 BOX 41502
HATILLO PR
00659-8330
US

V. Phone/Fax

Practice location:
  • Phone: 939-297-4924
  • Fax:
Mailing address:
  • Phone: 939-297-4924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8377
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: