Maurice Cruz, M.D.
Individual provider Active NPI Pediatric Pulmonology Physician · Mangonia Park, FL
NPI 1356337802 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1356337802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Pulmonology Physician 2080P0214X
- License
- 0055895 (FL)
- Practice address
- 927 45TH St Ste 202-6
Mangonia Park, FL 33407-2450 - Phone
- (561) 558-1212
- Fax
- (561) 558-1292
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040922001081 | FL | Practitioner - Pediatric Medicine | 3870561202 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0055895 | FL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Pediatric Pulmonology | Current |
Accepting new patients |
| Kidz Medical Services, Inc | Current |
Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
927 45th St
Ste 206
Mangonia Park, FL 33407
Phone (561) 844-8354
5325 Greenwood Ave
Ste 301
West Palm Beach, FL 33407
Phone (561) 273-4333
5325 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 736-7313
Interoperability endpoints
- mauricecruz@kms.allscriptsdirect.net
- mcruz19600@jupitermedicalcenter.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 0055895 | FL | Yes |
Addresses
Primary practice location
927 45TH St Ste 202-6
Mangonia Park, FL 33407-2450
Mailing address
5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14293 | Other | FL | STAYWELL |
| 14293 | Other | FL | HEALTHEASE |
| 2053218 | Other | FL | AETNA |
| P211917 | Other | FL | OXFORD HEALTH |
| 203191 | Other | FL | AVMED |
| 209935 | Other | FL | AMERIGROUP |
| 370197200 | Medicaid | FL | |
| 23942 | Other | FL | SOUTHCARE |
| 994755 | Other | FL | NEIGHBORHOOD HEALTH PARTN |
| 15168 | Other | FL | BLUE CROSS & BLUE SHIELD |
Other providers in Mangonia Park, FL
- Kaitlin Collins
- Manuel Corripio
- Bidwell Joseph Cranage
- Beatriz Teresa Cruz Perez
- Laura M Cruz Perez
- Nahomie Dauphine
- James Yves Denis
- Charity Denson
- Yadira Devaney
- DHP of Manatee PA
All providers in Mangonia Park, FL · Pediatric Pulmonology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.