Individual provider Active NPI

Hayvin Perez Cruz, ARNP

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1205487881
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09191207 Issued in FL
Practice address
909 N Miami Beach Blvd Ste 402
North Miami Beach, FL 33162-3712
Phone
(305) 653-0425
Fax
(305) 653-4055
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09191207 FL Primary

Addresses

Primary practice location

909 N Miami Beach Blvd Ste 402
North Miami Beach, FL 33162-3712

Mailing address

909 N Miami Beach Blvd Ste 402
North Miami Beach, FL 33162-3712
Phone (786) 650-8977

Other practice location 1

1601 N Palm Ave Ste 109
Pembroke Pines, FL 33026-3240
Phone (954) 271-0411

Other practice location 2

6930 NW 179th St Apt 308
Hialeah, FL 33015-5666
Phone (786) 650-8977

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
I20231024001231 FL Practitioner - Nurse Practitioner 0042666307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09191207FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos R Santos MD PA CurrentSince Sep 20, 2023 Accepting new patients
Carlos R Santos MD PA CurrentSince Sep 20, 2023 Accepting new patients

Locations

3164 S University Dr
Miramar, FL 33025
Phone (954) 849-0621

909 N Miami Beach Blvd
Ste 402
North Miami Beach, FL 33162
Phone (305) 653-0425

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCBCA/Endpoint/HDCBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCBCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1205487881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD STE 402",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "786-650-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD STE 402",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-653-0425",
            "fax_number": "305-653-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Palm Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263240",
            "country_code": "US",
            "telephone_number": "954-271-0411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6930 NW 179th St Apt 308",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330155666",
            "country_code": "US",
            "telephone_number": "786-650-8977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ CRUZ",
        "first_name": "HAYVIN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F09191207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.