Individual provider Active NPI

Osvaldo Garcia de la Cruz

  • Diagnostic Ultrasound Physician
  • Miami, FL
National Provider Identifier
1245984640
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
00051887 Issued in FL
Practice address
4721 SW 142ND CT
Miami, FL 33175-4324
Phone
(786) 326-2404
NPI assigned
Feb 5, 2022
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 00051887 FL Primary

Addresses

Primary practice location

4721 SW 142ND CT
Miami, FL 33175-4324

Mailing address

4721 SW 142ND CT
Miami, FL 33175-4324

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

State licenses

LicenseStateTypeSpecialty
00051887FLMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A & O Diagnostic Center Inc Current Accepting new patients
LGP Miami Company Inc Diagnostic Ultrasound CurrentSince Feb 13, 2022 Accepting new patients

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, 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": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1245984640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754324",
            "telephone_number": "786-326-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DE LA CRUZ",
        "first_name": "OSVALDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "00051887",
            "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 Feb 5, 2022; 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.