Individual provider Active NPI

Jean Carlos Jose Cruz-Gonzalez, DC

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1649809344
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13877 Issued in FL
Practice address
2659 W Oakland Park Blvd
Oakland Park, FL 33311-1355
Phone
(026) 270-0152
NPI assigned
Apr 4, 2020
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13877 FL Primary

Addresses

Primary practice location

2659 W Oakland Park Blvd
Oakland Park, FL 33311-1355

Mailing address

6565 Cyrils Dr
Saint Cloud, FL 34771-8957
Phone (202) 627-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000938 FL Practitioner - Chiropractic 8224575592 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Element Neuro Institute, LLC Current Accepting new patients
100 Chiro Rosado Maitland PLLC Chiropractor CurrentSince Aug 8, 2024 Accepting new patients
Element West Central Florida, LLC Chiropractor CurrentSince May 11, 2025 Accepting new patients
Element Physicians Group, LLC Current Accepting new patients
100 Chiro Rosado Winter Garden PLLC Chiropractor CurrentSince Jun 24, 2024 Accepting new patients

Locations

103 S Dixie Dr
Haines City, FL 33844
Phone (214) 537-1565

1200 N Central Ave
Ste 203
Kissimmee, FL 34741
Phone (407) 401-8094

171 S Orlando Ave
Ste A
Maitland, FL 32751
Phone (689) 206-0210

6220 S Orange Blossom Trl
Ste 161
Orlando, FL 32809
Phone (407) 401-8094

5736 Hamlin Groves Trl
Ste 154
Winter Garden, FL 34787
Phone (407) 329-2244

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1649809344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 CYRILS DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718957",
            "telephone_number": "202-627-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 W OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111355",
            "telephone_number": "026-270-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-GONZALEZ",
        "first_name": "JEAN CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.