Individual provider Active NPI

Grisseel Cruz-Espaillat, M.D.,P.H.D.

  • Prevention Professional
  • Miami, FL
National Provider Identifier
1245775345
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
23-99. 1603-FOLIO 77 Issued in ZZ
Practice address
2101 NW 117TH Ave
Miami, FL 33172-1864
Phone
(305) 596-2226
Fax
(305) 596-7077
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 23-99. 1603-FOLIO 77 ZZ Primary

Addresses

Primary practice location

2101 NW 117TH Ave
Miami, FL 33172-1864

Mailing address

2101 NW 117TH Ave
Miami, FL 33172-1864
Phone (305) 596-2226

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
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
23-99. 1603-FOLIO 77ZZMDPrevention Professional

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1245775345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721864",
            "telephone_number": "305-596-2226",
            "fax_number": "305-596-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NW 117TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721864",
            "telephone_number": "305-596-2226",
            "fax_number": "305-596-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ESPAILLAT",
        "first_name": "GRISSEEL",
        "name_prefix": "Dr.",
        "credential": "M.D.,P.H.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "ZZ",
            "license": "23-99. 1603-FOLIO 77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.