Individual provider Active NPI

Alex Ramon Taveras-Cruz, M.D.

  • General Practice Physician
  • Palm Coast, FL
National Provider Identifier
1780645903
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1101 Issued in FL
Practice address
4982 Palm Coast Pkwy NW Ste 2
Palm Coast, FL 32137-3616
Phone
(386) 446-5594
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1101 FL Primary
General Practice Physician 208D00000X 15423 PR

Addresses

Primary practice location

4982 Palm Coast Pkwy NW Ste 2
Palm Coast, FL 32137-3616

Mailing address

2460 Old Moultrie Rd Ste 1
St Augustine, FL 32086-4198
Phone (904) 293-0299

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
I20200211000929 FL Practitioner - General Practice 4789652363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

4982 Palm Coast Pkwy NW
Suite 3
Palm Coast, FL 32164
Phone (386) 446-5594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1101FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Feb 5, 2021 Accepting new patients
Roy H Hinman MD PA CurrentSince Aug 19, 2019 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients

Locations

2354 Surfside Blvd
Ste D103
Cape Coral, FL 33991
Phone (239) 317-7131

811 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101

4982 Palm Coast Pkwy NW
#13
Palm Coast, FL 32137
Phone (386) 446-5594

264 Palm Coast Pkwy NE
#A
Palm Coast, FL 32137
Phone (386) 446-5505

264A Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-5505

2460 Old Moultrie Rd
Ste 1
St Augustine, FL 32086
Phone (904) 293-0299

2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

Organizations & group practices 3

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 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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1780645903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OLD MOULTRIE RD STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864198",
            "telephone_number": "904-293-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 PALM COAST PKWY NW STE 2",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373616",
            "telephone_number": "386-446-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS-CRUZ",
        "first_name": "ALEX",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1101",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.