Individual provider Active NPI

Sylkia Milagros Martinez-Cruz, M.D.

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1730155359
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME93370 Issued in FL
Practice address
1736 University Blvd. South
MC75
Jacksonville, FL 32211
Phone
(305) 304-8855
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME93370 FL Primary

Addresses

Primary practice location

1736 University Blvd. South
MC75
Jacksonville, FL 32211

Mailing address

900 University Blvd. North
MC75
Jacksonville, FL 32211
Phone (904) 253-2062

Other identifiers 1

IdentifierTypeStateIssuer
0020109-00MedicaidFL

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
I20110201000143 FL Practitioner - Pediatric Medicine 2860671203 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93370FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Im Sulzbacher Center for the Homeless, Inc Pediatrics CurrentSince Nov 6, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 1, 2015 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Nov 1, 2015 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Nov 6, 2020 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1155 E 21st St
Jacksonville, FL 32206
Phone (904) 359-9067

611 E Adams St
Jacksonville, FL 32202
Phone (904) 359-0457

530 Jacksonville Dr
Jax Bch, FL 32250
Phone (904) 383-1046

Interoperability endpoints

  • Direct secure messaging: smartinezcruz54576@direct.shands.ufl.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1730155359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 UNIVERSITY BLVD. NORTH",
            "address_2": "MC75",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-253-2062",
            "fax_number": "904-253-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 UNIVERSITY BLVD. SOUTH",
            "address_2": "MC75",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "305-304-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-CRUZ",
        "first_name": "SYLKIA",
        "middle_name": "MILAGROS",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020109-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.