Individual provider Active NPI

Blas Perez de la Cruz, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1154697258
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME122750 Issued in FL
Practice address
760 NW 107TH Ave Ste 360
Miami, FL 33172-3157
Phone
(305) 392-0278
Fax
(305) 392-0325
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME122750 FL
Internal Medicine Physician 207R00000X ME122750 FL Primary

Addresses

Primary practice location

760 NW 107TH Ave Ste 360
Miami, FL 33172-3157

Mailing address

18702 SW 91St Ave
Cutler Bay, FL 33157-7908
Phone (305) 979-5104

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518001334 FL Practitioner - Internal Medicine 8820318777 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Kendall Regional Medical Center
Miami, FL 33175-3530
Phone (305) 223-3000

2025 Indian Rocks Rd
Largo Medical Center
Miami, FL 33175-3530
Phone (727) 586-7100

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

760 NW 107TH Ave
Suite 360
Miami, FL 33172-3157
Phone (305) 392-0278

Hospital & facility affiliations

  • Bristol Hospice - Miami Dade, LLC Hospice, Miami, FL, CCN 101558
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Lower Keys Medical Center Hospital, Key West, FL, CCN 100150
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • West Gables Rehabilitation Hospital Inpatient rehabilitation facility, Miami, FL, CCN 103036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122750FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince Apr 6, 2015 Accepting new patients
Blas Perez MD Corp Internal Medicine CurrentSince Jul 7, 2020 Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Jul 1, 2021 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Blas Perez MD Corp Internal Medicine CurrentSince Jan 14, 2024 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1154697258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18702 SW 91ST AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577908",
            "telephone_number": "305-979-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW 107TH AVE STE 360",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723157",
            "telephone_number": "305-392-0278",
            "fax_number": "305-392-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DE LA CRUZ",
        "first_name": "BLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME122750",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.