Individual provider Active NPI

Luis Cruz, OTR/L

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1871852020
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21471 Issued in FL
Practice address
10330 SW 50TH Ter
Miami, FL 33165-6252
Phone
(305) 773-7328
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Rehabilitation Counselor 225C00000X
Occupational Therapist 225X00000X OT21471 FL Primary

Addresses

Primary practice location

10330 SW 50TH Ter
Miami, FL 33165-6252

Mailing address

3551 SW 139TH CT
Miami, FL 33175-6757
Phone (305) 773-7328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018001346 FL Practitioner - Occupational Therapist in Private Practice 1658779905 Reassigns benefits to 5 organizations
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bolanos Associates, LLC.Group PAC ID 0840327342, 16 clinicians

Practice addresses (Care Compare)

1150 NW 72ND Ave
Suite 720
Miami, FL 33126-1932
Phone (866) 693-0181

13335 SW 124TH St
Suite 202
Miami, FL 33186-7515
Phone (866) 693-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT21471FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Community Wellness Center CurrentSince Oct 10, 2023 Accepting new patients
Behavior Support Center of Florida Inc CurrentSince Mar 18, 2022 Accepting new patients
The Hand Institute PL Occupational Therapist CurrentSince Jul 10, 2023 Accepting new patients
Mas Medical and Rehabilitation Center, Inc Current Accepting new patients
The Hand Institute PL CurrentSince Jul 10, 2023 Accepting new patients
Mas Medical and Rehabilitation Center, Inc CurrentSince May 11, 2024 Accepting new patients

Locations

8890 SW 24th St
Ste 206
Miami, FL 33165
Phone (305) 456-1295

8905 SW 87th Ave
Ste 100
Miami, FL 33176
Phone (305) 661-3000

12030 SW 129th Ct
Ste 206
Miami, FL 33186
Phone (305) 432-4032

8905 SW 87th Ave
Ste 101
Miami, FL 33176
Phone (305) 595-6280

15305 NW 60th Ave
Ste 100
Miami Lakes, FL 33014
Phone (786) 536-7561

Organizations & group practices 7

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": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1871852020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 SW 139TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756757",
            "telephone_number": "305-773-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SW 50TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656252",
            "telephone_number": "305-773-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LUIS",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2021-10-18",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.