Individual provider Active NPI

Wanda E Espinoza-Cruz, DO

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1346479599
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS11330 Issued in FL
Practice address
2502 W Saint Isabel St
Tampa, FL 33607-6318
Phone
(813) 874-5707
NPI assigned
Jul 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 256412-1 NY
Emergency Medicine Physician 207P00000X OS11330 FL Primary

Addresses

Primary practice location

2502 W Saint Isabel St
Tampa, FL 33607-6318

Mailing address

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584

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
I20110805000427 FL Practitioner - Emergency Medicine 1153505813 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11330FLMDEmergency Medicine Physician
256412-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Nov 15, 2017 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 17, 2017 Accepting new patients
Ryzemd Corp Current Accepting new patients
Ryze PMD Current Accepting new patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 7, 2019 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Emergency Medicine CurrentSince Aug 15, 2015 Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Terra Ceia Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

2502 W Saint Isabel St
Tampa, FL 33607
Phone (813) 874-5707

200 S Macdill Ave
Ste 100A
Tampa, FL 33609

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

4830 W Kennedy Blvd
Ste 600
Tampa, FL 33609
Phone (615) 627-2293

200 S Macdill Ave
Tampa, FL 33609
Phone (813) 353-1268

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Interoperability endpoints

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

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1346479599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 W KENNEDY BLVD STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W SAINT ISABEL ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076318",
            "telephone_number": "813-874-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA-CRUZ",
        "first_name": "WANDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "256412-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS11330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.