Individual provider Active NPI

Damisela Fernandez Cruz

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1780449454
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11033944 Issued in FL
Practice address
1840 W 49TH St Ste 732-733
Hialeah, FL 33012-2942
Phone
(786) 718-7874
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02240598 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11033944 FL Primary

Addresses

Primary practice location

1840 W 49TH St Ste 732-733
Hialeah, FL 33012-2942

Mailing address

1840 W 49TH St Ste 732-733
Hialeah, FL 33012-2942
Phone (786) 718-7874

Other practice location 1

8040 NW 155th St
Miami Lakes, FL 33016-5880
Phone (305) 827-0208

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217003178 FL Practitioner - Nurse Practitioner 1254811367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1460 S Palm Ave
Pembroke Pines, FL 33025-5520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02240598FLMDFamily Nurse Practitioner
APRN11033944FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moya-Prida MD Family CurrentSince Jan 10, 2026 Accepting new patients
Damsel Health Corp Psychiatric/Mental Health Current Accepting new patients

Locations

1840 W 49th St
Ste 732733
Hialeah, FL 33012
Phone (786) 718-7874

7911 NW 72nd Ave
Ste 111
Medley, FL 33166
Phone (305) 888-6959

1460 S Palm Ave
Pembroke Pines, FL 33025
Phone (305) 888-6959

Organizations & group practices 2

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1780449454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 732-733",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "786-718-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 W 49TH ST STE 732-733",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122942",
            "telephone_number": "786-718-7874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 NW 155th St",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330165880",
            "country_code": "US",
            "telephone_number": "305-827-0208",
            "fax_number": "305-827-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ CRUZ",
        "first_name": "DAMISELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F02240598",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11033944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.