Organization Active NPI

Tru Health Medical Services Inc

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1902639206
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRU HEALTH MEDICAL SERVICES INC
Practice address
3905 Redfin PL
Kissimmee, FL 34746-1959
Phone
(305) 849-4540
NPI assigned
Aug 22, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Abel Viltres Crespo
Title
Owner
Phone
(305) 849-4540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

3905 Redfin PL
Kissimmee, FL 34746-1959

Mailing address

3905 Redfin PL
Kissimmee, FL 34746-1959
Phone (305) 849-4540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010001436 FL Part B Supplier - Clinic/Group Practice 3072045418 Receives reassigned benefits from 5 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1902639206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 REDFIN PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461959",
            "telephone_number": "305-849-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 REDFIN PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461959",
            "telephone_number": "305-849-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU HEALTH MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "VILTRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-849-4540"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.