Provider Demographics
NPI:1013707314
Name:OQUENDO-CRUZ, ANGERIS (PSYD)
Entity type:Individual
Prefix:
First Name:ANGERIS
Middle Name:
Last Name:OQUENDO-CRUZ
Suffix:
Gender:
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:PARC NUEVA VIDA
Mailing Address - Street 2:CALLE TANQUE D52
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728
Mailing Address - Country:US
Mailing Address - Phone:939-332-2898
Mailing Address - Fax:
Practice Address - Street 1:PARC NUEVA VIDA
Practice Address - Street 2:CALLE TANQUE D52
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728
Practice Address - Country:US
Practice Address - Phone:939-332-2898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8220103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist