Organization Active NPI

Manuel Cruces DDS PA

  • Dental Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1811371073
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN18716 Issued in FL
Legal business name
MANUEL CRUCES DDS PA
Practice address
5350 W Hillsboro Blvd
Suite 201
Coconut Creek, FL 33073-4396
Phone
(954) 708-2157
Fax
(954) 708-2159
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Manuel Ignacio Cruces, DDS
Title
General Dentist
Phone
(954) 708-2157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN18716 FL Primary

Addresses

Primary practice location

5350 W Hillsboro Blvd
Suite 201
Coconut Creek, FL 33073-4396

Mailing address

5350 W Hillsboro Blvd
Suite 201
Coconut Creek, FL 33073-4396
Phone (954) 708-2157

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1811371073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-708-2157",
            "fax_number": "954-708-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W HILLSBORO BLVD",
            "address_2": "SUITE 201",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734396",
            "telephone_number": "954-708-2157",
            "fax_number": "954-708-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL CRUCES DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "CRUCES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "954-708-2157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.