Active NPI
Gilberto Melchor Cruz, M.D.
- Neurology Physician
- Hialeah, FL
National Provider Identifier
1124011515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME0061514
- Practice address
- 4160 W 16TH Ave Ste 506
Hialeah, FL 33012-5884 - Phone
- (305) 819-4432
- Fax
- (305) 819-3764
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME0061514 | FL | Primary |
Addresses
Primary practice location
4160 W 16TH Ave Ste 506
Hialeah, FL 33012-5884
Mailing address
4160 W 16TH Ave Ste 506
Hialeah, FL 33012-5884
Phone (305) 819-4432
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000L6 | Other | FL | PREFERRED CARE PARTNERS |
| 110105175 | Other | FL | RAILROAD MEDICARE |
| 206582 | Other | FL | AVMED |
| 161304 | Other | FL | STAYWELL |
| P00080 | Other | FL | DOCTOR CARE |
| 2507987 | Other | FL | CIGNA |
| 10166888 | Other | FL | CARE PLUS |
| 1016688 | Other | FL | WELL CARE |
| 14848 | Other | BLUE CROSS BLUE SHIELD | |
| 026753 | Other | FL | NEIGHBORHOOD HEALTH PLAN |
| 210349 | Other | FL | AMERIGROUP |
| 370756300 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100415000733 | FL | Practitioner - Neurology | 2062549454 | Practice locations: Hialeah, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4160 W 16TH Ave
Suite 506
Hialeah, FL 33012-5884
Phone (305) 819-4432
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061514 | FL | MD | Neurology Physician |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1124011515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 W 16TH AVE STE 506",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125884",
"telephone_number": "305-819-4432",
"fax_number": "305-819-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 W 16TH AVE STE 506",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125884",
"telephone_number": "305-819-4432",
"fax_number": "305-819-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "GILBERTO",
"middle_name": "MELCHOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME0061514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PARTNERS",
"identifier": "000L6",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110105175",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206582",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "161304",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTOR CARE",
"identifier": "P00080",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2507987",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS",
"identifier": "10166888",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CARE",
"identifier": "1016688",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14848",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "026753",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "210349",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370756300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.