Individual provider Active NPI

Joel Lazaro De la Torre Cruz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124452339
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11018107 Issued in FL
Practice address
9804 SW 40TH St
Miami, FL 33165-3912
Phone
(305) 222-9154
Fax
(305) 222-9155
NPI assigned
Aug 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11018107 FL Primary

Addresses

Primary practice location

9804 SW 40TH St
Miami, FL 33165-3912

Mailing address

14311 SW 88TH St Apt A208
Miami, FL 33186-8078
Phone (305) 926-5674

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006000139 FL Practitioner - Nurse Practitioner 7618353145 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11018107FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inti Fernandez MD PA Current Accepting new patients
Judith Valencia MD PA Current Accepting new patients
Valencia Medical Center, Inc CurrentSince Sep 12, 2022 Accepting new patients
BG Health Group LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

4005 NW 114th Ave
Unit 22
Doral, FL 33178
Phone (305) 260-6913

4005 NW 114th Ave
Unit 22A
Doral, FL 33178
Phone (305) 260-6913

9804 SW 40th St
Miami, FL 33165
Phone (305) 222-9154

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1124452339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 SW 88TH ST APT A208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868078",
            "telephone_number": "305-926-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653912",
            "telephone_number": "305-222-9154",
            "fax_number": "305-222-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE CRUZ",
        "first_name": "JOEL",
        "middle_name": "LAZARO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.