NPIMap

Individual provider Active NPI

Lidiana Sosa Cruz, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639730658
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002872 Issued in FL
Practice address
9432 SW 155TH Ave
Miami, FL 33196-1114
Phone
(305) 801-4778
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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 11002872 FL Primary

Addresses

Primary practice location

9432 SW 155TH Ave
Miami, FL 33196-1114

Mailing address

9432 SW 155TH Ave
Miami, FL 33196-1114
Phone (305) 801-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702000956 FL Practitioner - Nurse Practitioner 6103227756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reyna Health Trust IncGroup PAC ID 5395912778, 5 clinicians

Practice addresses (Care Compare)

18300 NW 62ND Ave
Suite 100
Miami Gardens, FL 33015-8207
Phone (305) 749-6203

Hospital & facility affiliations

  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Larkin Community Hospital Hospital, South Miami, FL, CCN 100181
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002872FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reyna Health Trust Inc CurrentSince Sep 1, 2021 Accepting new patients

Locations

8333 W Okeechobee Rd
Hialeah Gardens, FL 33016
Phone (305) 556-9900

18300 NW 62nd Ave
Ste 100
Miami Gardens, FL 33015
Phone (305) 749-6203

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

Organizations & group practices 1

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1639730658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9432 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961114",
            "telephone_number": "305-801-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 SW 155TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961114",
            "telephone_number": "305-801-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA CRUZ",
        "first_name": "LIDIANA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.