Individual provider Active NPI

Anuar De Jesus Guevara Cruz

  • Family Medicine Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1316737661
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TRN42087 Issued in FL
Practice address
361 Greenway TRL
Santa Rosa Beach, FL 32459-5589
Phone
(850) 892-8015
NPI assigned
May 9, 2025
Last updated
May 9, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN42087 FL Primary

Addresses

Primary practice location

361 Greenway TRL
Santa Rosa Beach, FL 32459-5589

Mailing address

114 Treviso CT
North Venice, FL 34275-6600
Phone (941) 465-0291

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001103 FL Order and Referring Only - Family PracticePractitioner - Family Practice 0840701611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1316737661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TREVISO CT",
            "city": "NORTH VENICE",
            "state": "FL",
            "postal_code": "342756600",
            "telephone_number": "941-465-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GREENWAY TRL",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595589",
            "telephone_number": "850-892-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA CRUZ",
        "first_name": "ANUAR",
        "middle_name": "DE JESUS",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN42087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.