Individual provider Active NPI

Lisandra Hernandez Cruz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1487263802
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11009544 Issued in FL
Practice address
3661 S Miami Ave Ste 503
Miami, FL 33133-4200
Phone
(305) 856-1082
Fax
(305) 459-1926
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11009544 FL
Nurse Practitioner 363L00000X RN9444292 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009544 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 503
Miami, FL 33133-4200

Mailing address

3661 S Miami Ave Ste 503
Miami, FL 33133-4200
Phone (305) 856-1082

Other identifiers 2

IdentifierTypeStateIssuer
112145600MedicaidFL
115905200MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008000739 FL Practitioner - Nurse Practitioner 1951709740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Wellness of Florida PAGroup PAC ID 2466823083, 2 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Suite 503
Miami, FL 33133-4200
Phone (888) 684-2779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9444292FLMDNurse Practitioner
APRN11009544FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates, LLC Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
University of Miami CurrentSince Aug 1, 2021 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Mental Wellness of Florida PA Psychiatric/Mental Health CurrentSince Dec 2, 2022 Accepting new patients
Z Rafael Abad MD PA Past Accepting new patients

Locations

7261 Sheridan St
Ste 340
Hollywood, FL 33024

3661 S Miami Ave
Ste 503
Miami, FL 33133
Phone (305) 856-1082

1601 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4029

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1601 NW 12th Ave
Fl 3
Miami, FL 33136

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1487263802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-856-1082",
            "fax_number": "305-459-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334200",
            "telephone_number": "305-856-1082",
            "fax_number": "305-459-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CRUZ",
        "first_name": "LISANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11009544",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9444292",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11009544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112145600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115905200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.