Martinez Cruz Medical Associates of the Villages LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARTINEZ CRUZ MEDICAL ASSOCIATES OF THE VILLAGES LLC

Practice address

1400 N US Highway 441
BLDG 920 Ste 922
The Villages, FL 32159-8975

Phone

(352) 750-6650

Fax

(352) 750-6651

NPI assigned

Apr 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ana D Fernandez Liz

Title

Manager

Phone

(352) 750-6650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bayoan D Martinez-Cruz, MD

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1316937501
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1003259946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "BLDG 920 STE 922",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-750-6650",
            "fax_number": "352-750-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441",
            "address_2": "BLDG 920 STE 922",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598975",
            "telephone_number": "352-750-6650",
            "fax_number": "352-750-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ CRUZ MEDICAL ASSOCIATES OF THE VILLAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ LIZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-750-6650"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edelyn Marie Manning Pagan, MD
• Miguel Mantilla-Villamizar, MD
• Brandon Max Markus, D.O.
• Tyler Marsh
• Phoebe Martey
• Bayoan D Martinez-Cruz, MD
• Diana Jean Martino
• Diana Martir, MT
• Nasseer A Masoodi, MD
• Kelly Ann Mattheus

• Internal Medicine Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.