Individual provider Active NPI

Carlos A Cruz, MD

  • Anesthesiology Physician
  • Miami, FL
National Provider Identifier
1679505259
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME91715 Issued in FL
Practice address
1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005
Phone
(305) 243-6358
Fax
(305) 243-8470
NPI assigned
Jul 6, 2006
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C166627 CA
Anesthesiology Physician 207L00000X ME91715 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Box 016960 (M851)
Miami, FL 33136-1005
Phone (305) 243-6358

Other identifiers 1

IdentifierTypeStateIssuer
2728907-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050817000432 FL Practitioner - Anesthesiology 6800826074 Reassigns benefits to 1 organization
I20200403001685 CA Practitioner - Anesthesiology 6800826074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Greater Miami, PAGroup PAC ID 5294633954, 111 clinicians

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3137

6110 SW 70TH St
South Florida Surgery Center
Miami, FL 33143-3419
Phone (305) 662-3100

6200 SW 73 St
South Miami, FL 33143-4679

6200 SW 73Rd St
South Miami Hospital
South Maimi, FL 33143-4679
Phone (786) 596-6557

91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone (305) 434-3000

9500 NW 58TH St
Doral, FL 33178-4732
Phone (786) 595-3600

9555 SW 162 Ave
West Kendall Baptist Hospital
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C166627CAMDAnesthesiology Physician
ME91715FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 23, 2020 Accepting new patients
First Choice Physician Partners CurrentSince May 1, 2020 Accepting new patients
Anesthesia Associates of Greater Miami, PA Anesthesiology CurrentSince Aug 9, 2007 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Apr 22, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 23, 2020 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
First Choice Physician Partners CurrentSince May 1, 2020 Accepting new patients
University of Miami Anesthesiology Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2388 N California St
Stockton, CA 95204
Phone (209) 601-8881

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

6110 SW 70th St
Fl Surg
South Miami, FL 33143
Phone (305) 662-4311

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

6200 SW 73rd St
Fl 2
South Miami, FL 33143
Phone (305) 740-0823

Organizations & group practices 8

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1679505259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 (M851)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6358",
            "fax_number": "305-243-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "BOX 016960 (M851)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-243-6358",
            "fax_number": "305-243-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C166627",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME91715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728907-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.