Active NPI
Angel Rafael Cruz-Medina, M.D.
- Neurology Physician
- Bay Pines, FL
National Provider Identifier
1679685077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 009071
- Practice address
- 10000 Bay Pines Blvd
Bay Pines, FL 33744 - Phone
- (727) 398-9387
- Fax
- (727) 398-9554
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 009071 | PR | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd
Bay Pines, FL 33744
Mailing address
PO Box 591
Bay Pines, FL 33744-0591
Phone (727) 398-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009071 | PR | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679685077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591",
"city": "BAY PINES",
"state": "FL",
"postal_code": "337440591",
"telephone_number": "727-398-9387",
"fax_number": "727-398-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33744",
"telephone_number": "727-398-9387",
"fax_number": "727-398-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-MEDINA",
"first_name": "ANGEL",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "009071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.