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JOSE A CRUZ JR MD PA NPI 1114107760


NPI Information

NPI: 1114107760
Provider Name: JOSE A CRUZ JR MD PA

Doing Business As: JOSE A CRUZ JR MD PA

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1210 WASHINGTON AVE
SUITE 220
MIAMI BEACH, FL
ZIP 33139
Phone: (305) 532-7455
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JOSE A CRUZ JR MD PA is a specialist in Miami Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JOSE A CRUZ JR MD PA NPI is 1114107760. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jose A Cruz Jr Md Pa.

The provider's business location address is:

1210 WASHINGTON AVE
SUITE 220
MIAMI BEACH, FL
ZIP 33139-632
Phone: (305) 532-7455
Fax: (305) 532-7457

The provider's authorized official is Karen G Cruz .
The authorized official title is Office Manager and has the following contact phone number (305) 532-7455.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 3/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME90082FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K6312MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.