GUSTAVO RIVERA CRUZ (NPI# 1215029046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215029046 |
| Entity Type | Individual |
| Full Name | GUSTAVO RIVERA CRUZ |
| Credential | MD |
| Practice Address |
Laguna Gardens Shopping Center Suite 211 Carolina PR 00979 |
| Mailing Address |
Po Box 20000 Pmb 563 Canovanas PR 00729 |
| Practice Telephone | 7877918897 |
| Practice Fax Number | 7877918801 |
| Mailing Telephone | 7877687900 |
| Mailing Fax Number | 7877687900 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
13764 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MMM | 1763 | 01 | |
| ACAA | 2602997 | 01 | |
| HUMANA VIA APS | 1937 | 01 | |
| PREFERRED HEALTH | 222151 | 01 | |
| PROSAM | 411255024 | 01 | |
| PALIC | PQ1051 | 01 | |
| SSS OPTIMO | 84357 | 01 | |
| SSS | 84357 | 01 | |
| INTERNATIONAL MED CARD | 9658 | 01 |
| Street Address |
LAGUNA GARDENS SHOPPING CENTER SUITE 211 |
| City | CAROLINA |
| State | PR |
| Zip Code | 00979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251492 | Leonardo R Diaz | Nutritionist | Laguna Gardens Shopping Center, Suite 101-a, Carolina, PR 00979 | 2020-10-02 |
| 1871115279 | Premium Health Group Clinic LLC | Clinic/Center | Laguna Gardens Shopping Center, Suite 101-a, Carolina, PR 00979 | 2020-05-08 |
| 1558929752 | Premium Health Group Clinic LLC | Radiology | Laguna Gardens Shopping Center, Suite 101a, Carolina, PR 00979 | 2019-06-03 |
| 1841686524 | Laboratorio Clinico M. Landron, Inc. | Clinical Medical Laboratory | Laguna Gardens Shopping Center, Suite 208, Carolina, PR 00981 | 2015-04-09 |
| 1629315650 | Dayra D Quiles-perez | Psychologist | Laguna Gardens Shopping Center, Suite 249-2, Carolina, PUERTO RICO 00979 | 2013-01-10 |
| 1447519988 | Prodessional Audio Services, Inc. | Preferred Provider Organization | Laguna Gardens Shopping Center, Suite 248, Carolina, PR 00979-6525 | 2012-05-03 |
| 1497023592 | Laguna Gardens Radiology and Imaging Group Inc. | Clinic/Center | Laguna Gardens Shopping Center, Suite 106, Carolina, PR 00979-6425 | 2011-12-05 |
| 1306071451 | Premium Health Group Clinic | Clinic/Center | Laguna Gardens Shopping Center, Suite 101a, Carolina, PR 00979 | 2009-05-19 |
| 1164682456 | Physiatric and Emergency Health Services Psc | Physical Medicine & Rehabilitation | Laguna Gardens Shopping Center, Suite 116 Primer Nivel, Carolina, PR 00985 | 2008-06-11 |
| 1083830970 | Norberto Medina Pellicer | Dentist | Laguna Gardens Shopping Center, Suite 200, Carolina, PR 00979 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769254 | Irma Cristina Acevedo | Psychologist | St. Palma De Sombrero #2, Urb. Villas Del Palmar Sur, Carolina, PR 00979 | 2020-08-06 |
| 1306468145 | Celia Rivera | Social Worker | 42 Calle Lucero, Urb. Los Angeles, Carolina, PR 00979 | 2020-05-14 |
| 1659922771 | Neyda Rosa Estremera | Technician | Condomino Waldorf Towers Apt. 1202, 4123 Ave. Isla Verde, Carolina, PR 00979 | 2019-09-20 |
| 1891351417 | Cesar G. Gerena Candal | General Practice | 1906 Cond Mundo Feliz, Carolina, PR 00979 | 2019-05-20 |
| 1770054298 | Movitaxi | Ambulance | 5870 Calle Tartak Apart 2104, Condominio Costa Del Sol, Carolina, PR 00979 | 2018-12-10 |
| 1720569973 | Soobin Maeng | General Practice | Condominio Playa Dorada Torres B Ph 12, Carolina, PR 00979 | 2018-08-26 |
| 1780170514 | Mayelin Amoros Duquesne | Internal Medicine | 5347 Ave Isla Verde, Marbella Oeste 1814, Carolina, PR 00979 | 2018-07-04 |
| 1851886741 | Carl L Palermo | Independent Medical Examiner | 7041 Calle 187 Apt 609a, Carolina, PR 00979 | 2018-06-25 |
| 1548753338 | Carol Stephanie Gonzalez | Psychologist | Isla Verde Mall, Avenida Los Gobernadores, Suite 218, Carolina, PR 00979 | 2018-06-07 |
| 1104323906 | Hospitalist Medical Services, Psc | Anesthesiology | Edificio Jesus T Pinero Ave Fernandez Juncos Bo Pueblo, Carolina, PR 00979 | 2018-04-09 |
| Find all providers in zip 00979 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013110279 | Amparo Gonzalez | Psychiatry & Neurology | E17 Calle 7, Estancias De San Fernando, Carolina, PR 00985-5218 | 2007-06-06 |
| 1336259019 | Diana Diaz-ramirez | Psychiatry & Neurology | Hospital Upr Carolina, Ave. 65 De Infanteria, Carolina, PR 00984-5067 | 2006-08-30 |
| 1326099243 | Jose Rafael Gomez Alba | Psychiatry & Neurology | 236 Ave San Marcos, Ext El Comandante, Carolina, PR 00982 | 2006-05-15 |
| 1790741221 | Arturo Miro | Psychiatry & Neurology | Villa Carolina 16, 35-21, Carolina, PR 00985 | 2006-04-24 |
| 1427011899 | Diogenes Orestes Adames | Psychiatry & Neurology | Villa Carolina 16st, Blq 35 #21, Carolina, PR 00985 | 2006-04-07 |
| 1144282427 | Miguel Arturo Ramirez Jimenez | Psychiatry & Neurology | Private Mail Box 6007, Carolina, PR 00984-6007 | 2006-04-04 |
| 1053398727 | Efrain Del Valle | Psychiatry & Neurology | Gl14 Ave Campo Rico, Country Club, Carolina, PR 00982-2675 | 2005-12-23 |
| 1972596351 | Francisco Guzman Yunque | Psychiatry & Neurology | Calle 2 Blq. 1 #1, Sabana Gardens, Carolina, PR 00983 | 2005-08-31 |
| 1780109975 | Marialis Torres-rodriguez | Psychiatry & Neurology | Ave 65 De Infanteria, Carretera 3 Km 8.3, Carolina, PR 00984 | 2017-08-08 |
| 1730593450 | Ivonne Fragoso-vazquez | Psychiatry & Neurology | Upr School of Medicine Psychiatry Department, Dr. Federico Trilla Hospital, Carolina, PR 00984 | 2014-06-20 |
| Find all providers in CAROLINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.