Active NPI
Ana A Cruz I
- Community Health Worker
- Oviedo, FL
National Provider Identifier
1265975940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 29133537
- Practice address
- 815 Eyrie Dr Ste 1a
Oviedo, FL 32765-8602 - Phone
- (407) 927-6215
- NPI assigned
- Nov 29, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 29133537 | PA | Primary |
Addresses
Primary practice location
815 Eyrie Dr Ste 1a
Oviedo, FL 32765-8602
Mailing address
1956 N Highlands Blvd
Avon Park, FL 33825-8179
Phone (863) 453-3151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29133537 | PA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1265975940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1956 N HIGHLANDS BLVD",
"city": "AVON PARK",
"state": "FL",
"postal_code": "338258179",
"telephone_number": "863-453-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 EYRIE DR STE 1A",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327658602",
"telephone_number": "407-927-6215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ANA",
"middle_name": "A",
"name_suffix": "I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "PA",
"license": "29133537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.