Provider Demographics
NPI:1356581805
Name:CALDERON-CRUZ, JANICE (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:
Last Name:CALDERON-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:PO BOX 571
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0571
Mailing Address - Country:US
Mailing Address - Phone:787-317-5072
Mailing Address - Fax:787-733-2813
Practice Address - Street 1:126 CALLE CRUZ ORTIZ STELLA S
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3727
Practice Address - Country:US
Practice Address - Phone:787-852-3787
Practice Address - Fax:787-285-8393
Is Sole Proprietor?:No
Enumeration Date:2009-02-24
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2526103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent