Active NPI
Wanda E Espinoza-Cruz, DO
- Emergency Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS11330
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11330 | FL | MD | Emergency Medicine Physician |
| 256412-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Mid-Florida Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Ryzemd Corp | Current | Accepting new patients | |
| Ryze PMD | Current | Accepting new patients | |
| Lake Wales Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Associates of Tampa Bay, LLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Lake Wales, FL
- NPI 1033480405
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1558630152
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Care Clinic/Center
- Tampa, FL
- NPI 1366060006
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1568276459
-
- Emergency Medicine Physician
- Hudson, FL
- NPI 1740206291
-
- Emergency Medicine Physician
- Sun City Center, FL
- NPI 1184940843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.