Provider Demographics
NPI:1629204102
Name:CRUZ FELICIANO, HILDA E (PSY D)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:E
Last Name:CRUZ FELICIANO
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51-49 AVE MAIN
Mailing Address - Street 2:URB. SANTA ROSA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6655
Mailing Address - Country:US
Mailing Address - Phone:787-790-0229
Mailing Address - Fax:
Practice Address - Street 1:51-49 AVE MAIN
Practice Address - Street 2:URB. SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6655
Practice Address - Country:US
Practice Address - Phone:787-790-0229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3213103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical