Active NPI
Sor Ines Cruz, M.R.C
- Counselor
- Melbourne, FL
National Provider Identifier
1154551034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00815
- Practice address
- 4446 Four Lakes Dr
Melbourne, FL 32940-1247 - Phone
- (321) 253-1566
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00815 | PR | Primary |
Addresses
Primary practice location
4446 Four Lakes Dr
Melbourne, FL 32940-1247
Mailing address
4446 Four Lakes Dr
Melbourne, FL 32940-1247
Phone (321) 253-1566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00815 | PR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1154551034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 FOUR LAKES DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401247",
"telephone_number": "321-253-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4446 FOUR LAKES DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401247",
"telephone_number": "321-253-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "SOR",
"middle_name": "INES",
"name_prefix": "Ms.",
"credential": "M.R.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PR",
"license": "00815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.