Active NPI
Luis R Cruz
- Occupational Therapist
- Saint Cloud, FL
National Provider Identifier
1871946962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 744
- Practice address
- 4898 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8714 - Phone
- (407) 891-3082
- NPI assigned
- Jul 13, 2016
- Last updated
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 744 | PR | Primary |
Addresses
Primary practice location
4898 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8714
Mailing address
17522 Blessing Dr
Clermont, FL 34714-4420
Phone (787) 615-1485
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 |
|---|---|---|---|
| 744 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1871946962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17522 BLESSING DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347144420",
"telephone_number": "787-615-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4898 E IRLO BRONSON MEMORIAL HWY",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718714",
"telephone_number": "407-891-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "LUIS",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PR",
"license": "744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.