Julian Jose Alberty Cruz, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooksville, FL
NPI 1306605019 · NPPES record last updated Mar 15, 2024
Key facts
- NPI
- 1306605019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 596-6632
- NPI assigned
- Mar 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240529002890 | FL | Order and Referring Only - Emergency Medicine |
5698117158 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2754
Other providers in Brooksville, FL
- Martha Lyn Aiello
- Karim Al Harakeh
- Muhammad Al Zoubi
- Abdullah Abbas Saleh Al-Murad
- Halee Albertson
- Muhammad Said Alghafeer
- Syed Wajahat Ali
- Maribel Christine Aliaga
- Sameer Alidina
- All American Ipa, LLC
All providers in Brooksville, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.