Active NPI
Leonardo J Cruz, APRN
- Adult Health Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1568870293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9403428
- Practice address
- 2369 W 52ND St
Hialeah, FL 33016-7210 - Phone
- (305) 825-0587
- NPI assigned
- Jul 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9403428 | FL | Primary |
Addresses
Primary practice location
2369 W 52ND St
Hialeah, FL 33016-7210
Mailing address
108 NW 85TH CT
Miami, FL 33126-3815
Phone (786) 709-4375
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170817002032 | FL | Order and Referring Only - Nurse Practitioner | 5193097657 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9403428 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1568870293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 NW 85TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263815",
"telephone_number": "786-709-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2369 W 52ND ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330167210",
"telephone_number": "305-825-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "LEONARDO",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-25",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9403428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.