Individual provider Active NPI

Floridalia Cruz, M.D

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1871609115
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86928 Issued in FL
Practice address
5575 S Semoran Blvd Ste 26
Orlando, FL 32822-1781
Phone
(407) 401-8637
Fax
(407) 401-8610
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME86928 FL Primary

Addresses

Primary practice location

5575 S Semoran Blvd Ste 26
Orlando, FL 32822-1781

Mailing address

5575 S Semoran Blvd Ste 26
Orlando, FL 32822-1781
Phone (407) 401-8637

Other identifiers 4

IdentifierTypeStateIssuer
267755500MedicaidFL
2410661OtherFLUNITED HEALTH CARE
243091OtherFLAMERIGROUP
266478OtherFLWELLCARE

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Family Medical Group Family Medicine Past Accepting new patients
Tiber Health, Public Benefit Corporation Family Medicine PastSince Apr 21, 2024 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients
RS Centro Medicina Avanzada, Corp Family Medicine Past Accepting new patients
MMR Instituto de Medicina de Familia del Oeste CSP PastSince Apr 28, 2000 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1871609115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 S SEMORAN BLVD STE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221781",
            "telephone_number": "407-401-8637",
            "fax_number": "407-401-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 S SEMORAN BLVD STE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221781",
            "telephone_number": "407-401-8637",
            "fax_number": "407-401-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "FLORIDALIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267755500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2410661",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "243091",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "266478",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.