Organization Active NPI

Lidiana Sosa Cruz Aprn PA

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1417525940
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LIDIANA SOSA CRUZ APRN PA
Practice address
9432 SW 155TH Ave
Miami, FL 33196-1114
Phone
(305) 801-4778
NPI assigned
Jun 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Lidiana Sosa Cruz, NP
Title
President
Phone
(305) 801-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9432 SW 155TH Ave
Miami, FL 33196-1114

Mailing address

9432 SW 155TH Ave
Miami, FL 33196-1114
Phone (305) 801-4778

National Provider Directory

National Provider Directory

Locations

18300 NW 62nd Ave
Miami Gardens, FL 33015
Phone (305) 749-6203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1417525940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961114",
            "telephone_number": "305-801-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961114",
            "telephone_number": "305-801-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDIANA SOSA CRUZ APRN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SOSA CRUZ",
        "authorized_official_first_name": "LIDIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-801-4778",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.