Active NPI
Alex Ramon Taveras-Cruz, M.D.
- General Practice Physician
- Palm Coast, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1101 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Doctors Intrastate LLC | Current | Accepting new patients | |
| Roy H Hinman MD PA | Current | Accepting new patients | |
| Lina L Feaster PA | Past | 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.
-
- Primary Care Clinic/Center
- St Augustine, FL
- NPI 1568083889
-
- Primary Care Clinic/Center
- St Augustine, FL
- NPI 1922205251
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.