Dan Cruz, MD, DABFM

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 123606 Issued in FL

Practice address

13790 Bridgewater Crossings Blvd
Ste 1080
Windermere, FL 34786-5447

Phone

(321) 987-4448

Fax

(347) 719-4039

NPI assigned

Jun 22, 2010

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dancruz@oicpa.allscriptsdirect.net

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.

• Infectious Disease Consultants, M.D., P.a.

  dba Orlando Immunology Center

  • Infectious Disease Physician
  • Altamonte Springs, FL
  • NPI 1407873581
  Medicare reassignment NPD
• Orlando Immunology Center PA

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1467003772
  NPD

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1134430374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13790 BRIDGEWATER CROSSINGS BLVD",
            "address_2": "STE 1080",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865447",
            "telephone_number": "321-987-4448",
            "fax_number": "347-719-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13790 BRIDGEWATER CROSSINGS BLVD",
            "address_2": "STE 1080",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865447",
            "telephone_number": "321-987-4448",
            "fax_number": "347-719-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "MD, DABFM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 123606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corvia Cardiac Rehab LLC
• Stephanie Oliveira Cousins
• Isabel Cox
• John Cody Cox, MSN, ANCC FNP
• Kimberly Crestani, ARNP-C
• Alicia Cubby
• Lucille Ann D'Amico, LMHC
• Vidushi Parna Das, MPT
• Mariano De la Mata, M.D.
• Rachel Kathleen Desando, MS ED CCC-SLP

• Family Medicine Physician in Windermere, FL
• Providers in Windermere, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.