Individual
DERICK JESUS CRUZ CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D
Contact information
Practice address
11 CALLE MALAGUETA, ISABELA, PR 00662-3202
(787) 631-8979
Mailing address
11 CALLE MALAGUETA, ISABELA, PR 00662-3202
(787) 631-8979
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7783
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8760535
DRIVER'S LICENSE
PR
Enumeration date
05/22/2025
Last updated
09/01/2025
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