Active NPI
Shayranisse Pagan Cruz, MD
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1386182632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31438
- Practice address
- 9066 SW 73Rd CT
Miami, FL 33156-2964 - Phone
- (787) 384-8442
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31438 | FL | Primary |
| General Practice Physician | 208D00000X | 19699 | PR |
Addresses
Primary practice location
9066 SW 73Rd CT
Miami, FL 33156-2964
Mailing address
9066 SW 73Rd CT Apt 1202
Miami, FL 33156-2968
Phone (787) 384-8442
Other practice location 1
Hospital Auxilio Mutuo Avenida Ponce de Leon
Parada 37 1/2
Hato Rey, PR 00919
Phone (787) 758-2000 ext. 3216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19699 | Medicaid | PR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603003521 | FL | Practitioner - Psychiatry | 4082960711 | Practice locations: Miami, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31438 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1386182632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9066 SW 73RD CT APT 1202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562968",
"telephone_number": "787-384-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9066 SW 73RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331562964",
"telephone_number": "787-384-8442"
}
],
"practiceLocations": [
{
"address_1": "Hospital Auxilio Mutuo Avenida Ponce de Leon",
"address_2": "Parada 37 1/2",
"address_purpose": "LOCATION",
"city": "Hato Rey",
"state": "PR",
"postal_code": "00919",
"country_code": "US",
"telephone_number": "787-758-2000 x3216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGAN CRUZ",
"first_name": "SHAYRANISSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "31438",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19699",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19699",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.