Individual provider Active NPI

Marlenny Feliz Cruz, M.D

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1326127044
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME96474 Issued in FL
Practice address
1779 N University Dr Ste 102
Pembroke Pines, FL 33024-0929
Phone
(954) 885-6565
Fax
(888) 727-7735
NPI assigned
Nov 3, 2006
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME96474 FL Primary

Addresses

Primary practice location

1779 N University Dr Ste 102
Pembroke Pines, FL 33024-0929

Mailing address

18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784

Other practice location 1

18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784

Other identifiers 1

IdentifierTypeStateIssuer
1030577700MedicaidFL

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
I20080626000522 FL Practitioner - Internal Medicine 1052483690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Doctors Group PLLCGroup PAC ID 2062775406, 3 clinicians

Practice addresses (Care Compare)

1779 N University Dr
Suite 102
Pembroke Pines, FL 33024-0929
Phone (954) 885-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Doctors Group, PLLC Internal Medicine CurrentSince Nov 16, 2021 Accepting new patients

Locations

1779 N University Dr
Ste 102
Pembroke Pines, FL 33024
Phone (954) 885-6565

18503 Pines Blvd
Ste 306
Pembroke Pines, FL 33029
Phone (954) 442-0784

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACDJCA/Endpoint/ACDJCA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1326127044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "954-442-0784",
            "fax_number": "855-840-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR STE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-885-6565",
            "fax_number": "888-727-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18503 Pines Blvd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330291406",
            "country_code": "US",
            "telephone_number": "954-442-0784",
            "fax_number": "855-840-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIZ CRUZ",
        "first_name": "MARLENNY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030577700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.