Yanara Cruz Gomez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11029764 Issued in FL

Practice address

4400 SW 112TH Ave
Miami, FL 33165-4763

Phone

(305) 721-8041

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1306605431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654763",
            "telephone_number": "305-721-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SW 112TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654763",
            "telephone_number": "305-721-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ GOMEZ",
        "first_name": "YANARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cruz Family Group Home LLC
• Cruz Family Home LLC
• Annia M Cruz Fernandez
• Nancy Cruz Fernandez
• Liuska Cruz Forteza
• Adriana Cruz Gonzalez
• Beatriz Cruz Gonzalez
• Karina Cruz Gonzalez
• Melissa Caridad Cruz Gonzalez, BCBA
• Rachel Cruz Gonzalez

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.

Verify at the official NPI Registry.