Individual provider Active NPI

Diego Ulises Cruz, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1255076261
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016156 Issued in FL
Practice address
11004 Bottlebrush PL
Tampa, FL 33624-4825
Phone
(813) 263-6416
NPI assigned
May 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 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 11016156 FL Primary

Addresses

Primary practice location

11004 Bottlebrush PL
Tampa, FL 33624-4825

Mailing address

11004 Bottlebrush PL
Tampa, FL 33624-4825
Phone (813) 263-6416

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
I20220623003413 FL Practitioner - Nurse Practitioner 5092194829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians
Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians

Practice addresses (Care Compare)

2029 Professional Ctr Dr
Orange Park, FL 32073-4461
Phone (865) 693-1000

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 778-0916

38250 A Ave
Zephyrhills, FL 33542-5759
Phone (813) 782-5508

4325 Southpoint Blvd
Jacksonville, FL 32216-6166
Phone (904) 245-7620

490 S Old Wire Rd
Wildwood, FL 34785-5001
Phone (865) 693-1000

5085 Eagleston Blvd
Wesley Chapel, FL 33544-8877
Phone (813) 454-0513

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Clearwater, FL, CCN 107787
  • Blue Heron Health and Rehabilitation Nursing home, Wesley Chapel, FL, CCN 106147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016156FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ca Pacs 2 Medical Group Inc CurrentSince Jun 20, 2022 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Jun 20, 2022 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1255076261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11004 BOTTLEBRUSH PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244825",
            "telephone_number": "813-263-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11004 BOTTLEBRUSH PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244825",
            "telephone_number": "813-263-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DIEGO",
        "middle_name": "ULISES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.