Provider Demographics
NPI:1275789851
Name:CRUZ HANCE, RAQUEL (MA PSY)
Entity Type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:
Last Name:CRUZ HANCE
Suffix:
Gender:F
Credentials:MA PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE JOSE DE DIEGO D-13
Mailing Address - Street 2:URB. VILLAS DEL COQUI #3239
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-2232
Mailing Address - Country:US
Mailing Address - Phone:787-853-1487
Mailing Address - Fax:
Practice Address - Street 1:#3239 CALLE JOSE DE DIEGO
Practice Address - Street 2:URB. VILLAS DEL COQUI
Practice Address - City:AGUIRRE
Practice Address - State:PR
Practice Address - Zip Code:00704-2232
Practice Address - Country:US
Practice Address - Phone:787-853-1487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2219101YP2500X
PR2843103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional