Provider Demographics
NPI:1497028849
Name:CRUZ, MONICA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PALACIOS DEL PRADO
Mailing Address - Street 2:H93 GOLFO DE MEXICO
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-934-4176
Mailing Address - Fax:
Practice Address - Street 1:31 CALLE MAYOR
Practice Address - Street 2:OFICINA 201
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3726
Practice Address - Country:US
Practice Address - Phone:787-934-4176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical