Individual provider Active NPI

Eileen Ruiz-Cruz, ARNP

  • Primary Care Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1164849618
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP 9253525 Issued in FL
Practice address
4410 W 16TH Ave
#56
Hialeah, FL 33012-7100
Phone
(305) 824-8559
NPI assigned
Mar 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9253525 FL
Gerontology Nurse Practitioner 363LG0600X ARNP 9253525 FL
Primary Care Nurse Practitioner 363LP2300X ARNP 9253525 FL Primary

Addresses

Primary practice location

4410 W 16TH Ave
#56
Hialeah, FL 33012-7100

Mailing address

14016 Lake Lure CT
Miami Lakes, FL 33014-3051
Phone (786) 693-0508

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
I20150312000750 FL Practitioner - Nurse Practitioner 2769708643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunlite Medical Associates IncGroup PAC ID 0042302572, 3 clinicians

Practice addresses (Care Compare)

4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone (305) 822-0068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9253525FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlite Medical Associates Inc CurrentSince Dec 14, 2014 Accepting new patients

Locations

4811 W 4th Ave
Hialeah, FL 33012
Phone (305) 822-0068

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1164849618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14016 LAKE LURE CT",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143051",
            "telephone_number": "786-693-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W 16TH AVE",
            "address_2": "#56",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127100",
            "telephone_number": "305-824-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ-CRUZ",
        "first_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9253525",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 9253525",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 9253525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.