Individual provider Active NPI

Ada L Rivera Cruz, MD

  • General Practice Physician
  • Eustis, FL
National Provider Identifier
1821321977
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME117748 Issued in FL
Practice address
1101 S Eustis St
Eustis, FL 32726-5558
Phone
(352) 290-6200
NPI assigned
Sep 8, 2009
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 18355 PR
General Practice Physician 208D00000X ME117748 FL Primary

Addresses

Primary practice location

1101 S Eustis St
Eustis, FL 32726-5558

Mailing address

2439 Santa Vista Loop
Apopka, FL 32703-9220
Phone (787) 361-5403

Other practice location 1

UPR Medical sciences campus
Rio Piedras, PR 00936
Phone (787) 758-2525

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark

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
I20160930000468 FL Practitioner - General PracticePractitioner - Family PracticePractitioner - Physical Medicine and RehabilitationPractitioner - Peripheral Vascular Disease 2062709355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Peripheral Vascular Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

725 S Pine St
Sebring, FL 33870-3654
Phone (866) 877-7123

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue527
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18355PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jul 11, 2016 Accepting new patients
Florida Post Acute Care Clinicians, LLC General Practice CurrentSince Jul 11, 2016 Accepting new patients
Advanced Comprehensive Care Associates, LLC General Practice CurrentSince Mar 1, 2025 Accepting new patients

Locations

1101 S Eustis St
Eustis, FL 32726
Phone (352) 589-4111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

725 S Pine St
Sebring, FL 33870
Phone (863) 385-0161

40 Sunset Ridge Rd
Ste 120
New Paltz, NY 12561

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1821321977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 SANTA VISTA LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327039220",
            "telephone_number": "787-361-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-290-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UPR Medical sciences campus",
            "address_purpose": "LOCATION",
            "city": "Rio Piedras",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-758-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA CRUZ",
        "first_name": "ADA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18355",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME117748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.