NPIMap

Individual provider Active NPI

Lilian De la Cruz, NP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1720674294
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010718 Issued in FL
Practice address
52 E 5TH St
Hialeah, FL 33010-4842
Phone
(305) 882-0502
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 11010718 FL Primary

Addresses

Primary practice location

52 E 5TH St
Hialeah, FL 33010-4842

Mailing address

5053 NW 195TH Ter
Miami Gardens, FL 33055-2084
Phone (786) 210-7855

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
I20251017000913 FL Practitioner - Nurse Practitioner 1951898352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Infectious DiseasesGroup PAC ID 4486689957, 18 clinicians

Practice addresses (Care Compare)

1801 SE Hillmoor Dr
Suite C 207
Port St Lucie, FL 34952-7574
Phone (772) 335-4234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010718FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prager Simon & Associates LLP CurrentSince Sep 1, 2025 Accepting new patients
Associates in Infectious Diseases CurrentSince Sep 12, 2025 Accepting new patients
True Care Medical & Wellness Center Inc CurrentSince Dec 22, 2020 Accepting new patients
Professional Healthcare Associates LLC Past Accepting new patients

Locations

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

52 E 5th St
Hialeah, FL 33010
Phone (305) 556-9200

9299 SW 152nd St
Ste 203
Palmetto Bay, FL 33157
Phone (305) 234-9180

1801 SE Hillmoor Dr
Ste C-207
Port St Lucie, FL 34952
Phone (772) 335-4234

75 Remittance Dr
Dept 6997
Chicago, IL 60675

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1720674294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 NW 195TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552084",
            "telephone_number": "786-210-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E 5TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104842",
            "telephone_number": "305-882-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "LILIAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.