Alo Medical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ALO MEDICAL LLC

Practice address

1101 S Eustis St
Eustis, FL 32726-5558

Phone

(352) 589-9661

Fax

(352) 589-5983

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ada L Rivera Cruz, MDNPI 1821321977

Title

Owner

Phone

(352) 589-9661

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ada L Rivera Cruz, MD

  • General Practice Physician
  • Eustis, FL
  • NPI 1821321977
  Authorized official Same address or phone

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1285343699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-589-9661",
            "fax_number": "352-589-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-589-9661",
            "fax_number": "352-589-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA CRUZ",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-589-9661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE NUMBER",
            "identifier": "ME117748",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.