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NPI Code Detail

MEDICARE: DR. MONICA CRUZ PSY.D.

MEDICARE: DR. MONICA CRUZ PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist4095PR

General Provider Information

NPI Number : 1497028849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONICA CRUZ PSY.D.
Provider Business Mailing Address
First Line : PALACIOS DEL PRADO
Second Line : H93 GOLFO DE MEXICO
City : JUANA DIAZ
State : PR
Zip : 00795
Country : US
Telephone Number : 787-934-4176
Fax Number :
Provider Business Practice Location Address
First Line : 31 CALLE MAYOR
Second Line : OFICINA 201
City : PONCE
State : PR
Zip : 00730-3726
Country : US
Telephone Number : 787-934-4176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2012
Last Update Date : 08/05/2019

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