Jennifer Cruz, AP. DAOM.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP 3349 Issued in FL

Practice address

13224 W Broward Blvd
Plantation, FL 33325-2228

Phone

(954) 400-5504

Fax

(954) 400-5503

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eastern Acupuncture and Wellness

  • Acupuncturist
  • Plantation, FL
  • NPI 1275959801
  NPD Authorized official
• Eastern Acupuncture Wilton Manors

  • Acupuncturist
  • Wilton Manors, FL
  • NPI 1316608714
  NPD (past) Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1235397910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE STE 405",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241835",
            "telephone_number": "786-236-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13224 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252228",
            "telephone_number": "954-400-5504",
            "fax_number": "954-400-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JENNIFER",
        "credential": "AP. DAOM.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51421",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 3349",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "225700000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ACUPUNCTURIST",
            "identifier": "AP3349",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "7635503",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "MA51421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Carolina Cruces Basalo
• Angie Melissa Cruz Santiago
• Alex Cruz, COTA DOR
• Amber Rose Cruz, LMT
• Evelyn Cruz, APRN
• Ctr Medical
• Ctr Medical
• Cerena Cuaresma, C.R.N.F.A
• Alexandru F Cuc, PHD
• Olivia Cuellar

• Acupuncturist in Plantation, FL
• Providers in Plantation, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.