Rene F Cruz M D P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0068986 Issued in FL

Legal business name

RENE F CRUZ M D P A

Practice address

424 Lake Howell Rd
Maitland, FL 32751-5907

Phone

(407) 644-4595

Fax

(407) 790-7752

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rene Fulgencio Cruz, MDNPI 1578545729

Title

Medical Director

Phone

(407) 644-4595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Practice Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Family Practice Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rene F Cruz, M.D., P.a.

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1316033814
  NPD tax ID

Practitioners 1

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

• Rene Fulgencio Cruz, MD

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1578545729
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1861439606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-644-4595",
            "fax_number": "407-790-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LAKE HOWELL RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515907",
            "telephone_number": "407-644-4595",
            "fax_number": "407-790-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE F CRUZ M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "FULGENCIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-644-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0068986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256125500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regional Chiropractic Network Inc
• Ashley Reichers
• Shenell Mikhalia Reid
• Amanda Reineck, MSW
• Reeli Reinu, PA
• Rene F Cruz, M.D., P.a.
• Naymie Rene
• Mary Catherine Repper
• Resilience Behavioral Health LLC
• Barbra Resnick, LCSW

• Specialist in Maitland, FL
• Providers in Maitland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.