Active NPI
Laura Maryvette Cruz Matos, PHARMD
- Pharmacist
- Miami, FL
National Provider Identifier
1275291064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62906
- Practice address
- 9105 S Dadeland Blvd
Miami, FL 33156-7813 - Phone
- (305) 670-8929
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62906 | FL | Primary |
Addresses
Primary practice location
9105 S Dadeland Blvd
Miami, FL 33156-7813
Mailing address
4941 W Sample Rd Apt 110
Coconut Creek, FL 33073-3693
Phone (787) 231-2261
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 Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS62906 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1275291064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 W SAMPLE RD APT 110",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733693",
"telephone_number": "787-231-2261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 S DADELAND BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567813",
"telephone_number": "305-670-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ MATOS",
"first_name": "LAURA",
"middle_name": "MARYVETTE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62906",
"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 Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.