Individual provider Active NPI

Amado Cruz

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1922604263
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010877 Issued in FL
Practice address
18638 NW 78TH CT
Hialeah, FL 33015-5245
Phone
(786) 366-4761
NPI assigned
Dec 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 APRN11010877 FL Primary

Addresses

Primary practice location

18638 NW 78TH CT
Hialeah, FL 33015-5245

Mailing address

18638 NW 78TH CT
Hialeah, FL 33015-5245
Phone (786) 366-4761

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
I20231214003868 FL Practitioner - Nurse Practitioner 2466801477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Wound Care Division LLCGroup PAC ID 6709280324, 35 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11010877FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC General Practice CurrentSince Jan 29, 2024 Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Nov 12, 2023 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

Organizations & group practices 3

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1922604263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18638 NW 78TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155245",
            "telephone_number": "786-366-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18638 NW 78TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155245",
            "telephone_number": "786-366-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "AMADO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.