Mario Angel Cruz Cabrera, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11022768 Issued in FL

Practice address

6822 W Waters Ave
Tampa, FL 33634-2212

Phone

(813) 280-4909

Fax

(813) 302-7143

NPI assigned

Nov 4, 2022

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Doctor Medical Group CorpGroup PAC ID 6305100371, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19280/brand/1/csg/1/fhir/r4

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

• My Doctor Medical Group Corp

  • General Practice Physician
  • Tampa, FL
  • NPI 1295237675
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1124735527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342212",
            "telephone_number": "813-280-4909",
            "fax_number": "813-302-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6822 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342212",
            "telephone_number": "813-280-4909",
            "fax_number": "813-302-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ CABRERA",
        "first_name": "MARIO",
        "middle_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Crutchley, PTA
• Cindy Mariel Cruz - Martinez
• Cecilia De la Caridad Cruz Almaguer, RN, MSN, ARNP, FNP
• Cruz and Sanz Health Services Inc
• Sandra Cruz Berlanga
• Celienny Cruz Castellano
• Yeimis Cruz Foyedo
• Ana Teresa Cruz Gallardo
• Angelys Cruz Garcia
• Roberto Luis Cruz Garcia, MD

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.