Provider Demographics
NPI:1366321127
Name:CRUZ DIAZ, ARTURO (MA)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:CRUZ DIAZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB EL PARAISO
Mailing Address - Street 2:1621 CALLE ORINOCO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-309-1336
Mailing Address - Fax:
Practice Address - Street 1:URB EL PARAISO
Practice Address - Street 2:1621 CALLE ORINOCO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3140
Practice Address - Country:US
Practice Address - Phone:787-309-1336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7681103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist