Individual provider Active NPI

Antonio Orlando Velazquez de la Cruz, ARNP

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1912239633
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9421757 Issued in FL
Practice address
1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149
Phone
(954) 791-6146
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9421757 FL Primary

Addresses

Primary practice location

1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149

Mailing address

1995 E Oakland Park Blvd Ste 250
Ft Lauderdale, FL 33306-1149
Phone (954) 791-6146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130001783 FL Practitioner - Nurse Practitioner 2961749817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 771-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9421757FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Practitioners, LLC CurrentSince Jun 19, 2018 Accepting new patients
Ap of Nashville, LLC Past Accepting new patients

Locations

1995 E Oakland Park Blvd
Ste 310
Ft Lauderdale, FL 33306
Phone (866) 996-8011

1995 E Oakland Park Blvd
Ste 250
Ft Lauderdale, FL 33306
Phone (954) 533-2350

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1912239633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD STE 250",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061149",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD STE 250",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061149",
            "telephone_number": "954-791-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ DE LA CRUZ",
        "first_name": "ANTONIO",
        "middle_name": "ORLANDO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9421757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.