Celso Fernando De la Cruz Luque, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME162053 Issued in FL

Practice address

1599 NW 9TH Ave Ste 203
Boca Raton, FL 33486-1310

Phone

(561) 338-8884

Fax

(561) 338-5230

NPI assigned

Jun 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cardiovascular Medicine Associates PAGroup PAC ID 5991609992, 41 clinicians

Boca Raton Ekg Readers IncGroup PAC ID 5193865905, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: celso.de.la.cruz.1@1931.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1931/brand/1/csg/41/fhir/r4

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

• Cardiovascular Medicine Associates PA

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1831123520
  Medicare reassignment Care Compare group NPD
• Boca Raton Ekg Readers Inc

  • Cardiovascular Disease Physician
  • Boca Raton, FL
  • NPI 1568415453
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1588078265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-338-8884",
            "fax_number": "561-338-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 NW 9TH AVE STE 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861310",
            "telephone_number": "561-338-8884",
            "fax_number": "561-338-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ LUQUE",
        "first_name": "CELSO",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "S3149",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN19764",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME162053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariana De Barros Santos Betioli, LM
• Vanessa Coronel De Barros, APRN
• Cintia De Bettio, DMD
• Luiz Ismael De Castro Junior, PT
• Eileen C De Grandis, MD
• Yanet De la Cruz Valdivia
• Monica Lucero De la Fuente
• Elinor De la Morena, APRN
• Noelia Natali De Leon
• Sadelyn De Los Santos

• Cardiovascular Disease Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.