Individual provider Active NPI

Juan Carlos Cruz Padrino, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1568202034
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032785 Issued in FL
Practice address
7175 SW 8TH St Ste 214
Miami, FL 33144-4674
Phone
(305) 456-6055
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032785 FL Primary

Addresses

Primary practice location

7175 SW 8TH St Ste 214
Miami, FL 33144-4674

Mailing address

7175 SW 8TH St Ste 214
Miami, FL 33144-4674
Phone (305) 456-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032785FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Diagnostic Center Inc CurrentSince Jun 23, 2024 Accepting new patients
Concepcion Medical LLC PastSince Jun 2, 2024 Accepting new patients

Locations

7175 SW 8th St
Ste 214
Miami, FL 33144
Phone (305) 456-6055

Organizations & group practices 2

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1568202034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7175 SW 8TH ST STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444674",
            "telephone_number": "305-456-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 SW 8TH ST STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444674",
            "telephone_number": "305-456-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ PADRINO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.