Individual provider Active NPI

Amanda E Cruz Cruz, M.D.

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1649614397
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME154751 Issued in FL
Practice address
975 Baptist Way
Homestead, FL 33033-7600
Phone
(786) 243-8073
Fax
(786) 576-0471
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 300915 LA
Hospitalist Physician 208M00000X 300915 LA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME154751 FL Primary

Addresses

Primary practice location

975 Baptist Way
Homestead, FL 33033-7600

Mailing address

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8073

Other practice location 1

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 595-8388

Other identifiers 2

IdentifierTypeStateIssuer
08126845MedicaidMS
2334107MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524000535 FL Practitioner - Internal Medicine 4688898927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Inpatient PhysiciansGroup PAC ID 2567429483, 88 clinicians

Practice addresses (Care Compare)

975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 662-5465

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • Fishermen'S Community Hospital Hospital, Marathon, FL, CCN 101312
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Inpatient Physicians Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
QMC LLC Hospitalist PastSince Feb 1, 2021 Accepting new patients
MG H2 LLC Hospitalist Past Accepting new patients

Locations

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

Organizations & group practices 4

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1649614397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8073",
            "fax_number": "786-576-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "786-243-8073",
            "fax_number": "786-576-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Belle Chasse Hwy",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567127",
            "country_code": "US",
            "telephone_number": "504-595-8388",
            "fax_number": "504-595-8229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ CRUZ",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "300915",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "300915",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME154751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08126845",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2334107",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.