Ketamine Health Centers of Weston, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KETAMINE HEALTH CENTERS OF WESTON, LLC

Practice address

1290 Weston Rd Ste 203B
Weston, FL 33326-1909

Phone

(954) 237-1303

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raul A Cruz, MDNPI 1144421454

Title

Owner

Phone

(305) 793-4855

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Raul A Cruz, M.D.

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1144421454
  NPD (past) Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1497311724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 SW 51ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556317",
            "telephone_number": "305-793-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD STE 203B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261909",
            "telephone_number": "954-237-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE HEALTH CENTERS OF WESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-793-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Keats, CCC-SLP
• Andrea Keener, PHD, LMHC, MCAP
• Dominique Kenney
• Mikayla Elizabeth Kerekes, PT, DPT
• Kerri L. Winston Ms M OT Otr L PA
• Ida Keurkunian, DO
• Faiza Khalid, MD
• Osama Sherjeel Khan, M.D.
• Sikandar Khan, MD
• Tarannum S Khan, M.D.

• Health Service Clinic/Center in Weston, FL
• Providers in Weston, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.