Organization Active NPI

Ryze PMD

Doing business as Ryze Primary Care

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1568276459
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RYZE PMD
Doing business as
Ryze Primary Care
Practice address
200 S Macdill Ave
Tampa, FL 33609-3532
Phone
(813) 353-1268
Fax
(813) 353-1269
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Wanda E Cruz, DO
Title
President
Phone
(813) 353-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

200 S Macdill Ave
Tampa, FL 33609-3532

Mailing address

200 S Macdill Ave
Tampa, FL 33609-3532
Phone (813) 353-1268

Other names 1

  • Ryze Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

200 S Macdill Ave
Tampa, FL 33609
Phone (813) 353-1268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1568276459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093532",
            "telephone_number": "813-353-1268",
            "fax_number": "813-353-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093532",
            "telephone_number": "813-353-1268",
            "fax_number": "813-353-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYZE PMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-353-1268",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryze Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.