Active NPI
Diego Ulises Cruz, APRN
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11016156
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Blue Heron Health and Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016156 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Ca Pacs 2 Medical Group Inc | Current | Accepting new patients | |
| Florida Post Acute Medical Services 1 PA | Current | 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.
-
- Hospitalist Physician
- Tampa, FL
- NPI 1255862439
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Wesley Chapel, FL
- NPI 1972193712
Nursing home
-
- Home Health Agency
- Clearwater, FL
- NPI 1508818626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.