Fausto A De la Cruz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0048782 Issued in FL

Practice address

603 N Flamingo Rd
#357
Pembroke Pines, FL 33028-1023

Phone

(954) 450-8488

Fax

(954) 950-8860

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional Dialysis Center Dialysis facility, Pembroke Pines, FL, CCN 682536
• Memorial Home Health Services Home health agency, Hollywood, FL, CCN 107444
• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
• Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Internal Medicine Associates & Specialties,Inc

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1336293539
  Medicare reassignment NPD Authorized official

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

• Professional Dialysis Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pembroke Pines, FL
  • NPI 1700148632

  Dialysis facility

  Care Compare affiliation Name & address match
• Memorial Home Health Services, LLC

  • Home Health Agency
  • Hollywood, FL
  • NPI 1386212546
  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1063495836
  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Miramar, FL
  • NPI 1326021197
  Care Compare affiliation
• South Broward Hospital District

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1376535484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "#357",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-450-8488",
            "fax_number": "954-450-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "#357",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-450-8488",
            "fax_number": "954-950-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "FAUSTO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379570500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amalia De Barrio, BA
• Armando A De Feria, M.D.
• Fortunato Lucanos Ma De Gracia
• Liezel Meing De Guzman, NP-C
• Rene De Jesus, RN
• Alejandro De la Flor, APRN
• De la Paz Medical and Weight Loss PA
• Paula Karina De la Rotta-Perez, PSYD, LMHC
• Alain De la Torre
• Bermari De Leon Arias, MOT

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.