Individual provider Active NPI

Pedro J Cruz Torres, MD

  • Obstetrics & Gynecology Physician
  • Orange City, FL
National Provider Identifier
1104897453
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME85694 Issued in FL
Practice address
2565 Enterprise Rd
Ste 400
Orange City, FL 32763-7912
Phone
(386) 201-9105
Fax
(386) 201-9106
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME85694 FL Primary

Addresses

Primary practice location

2565 Enterprise Rd
Ste 400
Orange City, FL 32763-7912

Mailing address

2565 Enterprise Rd
Ste 400
Orange City, FL 32763-7912
Phone (386) 201-9105

Other identifiers 1

IdentifierTypeStateIssuer
003286500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206001037 FL Practitioner - Obstetrics/Gynecology 4284604646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85694FLMDObstetrics & Gynecology Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 31, 2012 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 31, 2012 Accepting new patients
Pedro J. Cruz, LLC Obstetrics & Gynecology PastSince Jun 1, 2004 Accepting new patients
St Lucie Medical Specialists LLC Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

719 Rodel Cv
Ste 1015
Lake Mary, FL 32746
Phone (407) 262-5800

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2565 Enterprise Rd
Ste 400
Orange City, FL 32763
Phone (386) 201-9100

2565 Enterprise Rd
Ste 300
Orange City, FL 32763
Phone (386) 201-9105

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4401 S Orange Ave
Ste 113
Orlando, FL 32806

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pcruztorres26603@orlandohealth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1104897453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 ENTERPRISE RD",
            "address_2": "STE 400",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637912",
            "telephone_number": "386-201-9105",
            "fax_number": "386-201-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 ENTERPRISE RD",
            "address_2": "STE 400",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637912",
            "telephone_number": "386-201-9105",
            "fax_number": "386-201-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ TORRES",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME85694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003286500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.