Individual provider Active NPI

Ailen Cruz Bergon, RN

  • Registered Nurse
  • Miami, FL
National Provider Identifier
1891566295
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9464502 Issued in FL
Practice address
7270 NW 12TH St Ste 430
Miami, FL 33126-1941
Phone
(786) 615-2843
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9464502 FL Primary

Addresses

Primary practice location

7270 NW 12TH St Ste 430
Miami, FL 33126-1941

Mailing address

7270 NW 12TH St Ste 430
Miami, FL 33126-1941
Phone (786) 615-2843

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9464502FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
La Sagrada Familia Medical Center Current Accepting new patients
La Sagrada Familia Medical Center Inc Current Accepting new patients

Locations

7270 NW 12th St
Ste 430
Miami, FL 33126
Phone (786) 615-2843

Organizations & group practices 2

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1891566295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "786-615-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 NW 12TH ST STE 430",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261941",
            "telephone_number": "786-615-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ BERGON",
        "first_name": "AILEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9464502",
            "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 Jan 15, 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.