Active NPI
Maria T Cruz-Vargas, COTA
- Skilled Nursing Facility
- Pembroke Pines, FL
National Provider Identifier
1861763377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- OTA9791
- Practice address
- 8590 NW 4TH St
Pembroke Pines, FL 33024-6652 - Phone
- (954) 326-1569
- NPI assigned
- Jan 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OTA9791 | FL | Primary |
Addresses
Primary practice location
8590 NW 4TH St
Pembroke Pines, FL 33024-6652
Mailing address
8590 NW 4TH St
Pembroke Pines, FL 33024-6652
Phone (954) 326-1569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA9791 | FL | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1861763377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8590 NW 4TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246652",
"telephone_number": "954-326-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8590 NW 4TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246652",
"telephone_number": "954-326-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-VARGAS",
"first_name": "MARIA",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-16",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "OTA9791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.