JOSE A CRUZ JR MD PA (NPI# 1114107760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114107760 |
| Entity Type | Organization |
| Organization Name | JOSE A CRUZ JR MD PA |
| Other Organization Name | JOSE A CRUZ JR MD PA |
| Practice Address |
1210 Washington Ave Suite 220 Miami Beach FL 33139-4632 |
| Practice Telephone | 3055327455 |
| Practice Fax Number | 3055327457 |
| Mailing Telephone | 3055327455 |
| Mailing Fax Number | 3055327457 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | MRS. KAREN G CRUZ (OFFICE MANAGER) |
| Authorized Official Telephone | 3055327455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME90082 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Jose A Cruz JR MD PA | Doing Business As Name - Organization |
| Street Address |
1210 WASHINGTON AVE SUITE 220 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439435 | Aura Cristina Hansmann | Specialist | 2600 Collins Ave Apt 411, Miami Beach, FL 33140-4711 | 2019-10-27 |
| 1740833987 | Tristar Medical, LLC | Specialist | 400 W 41st St Ste 401, Miami Beach, FL 33140-3516 | 2019-07-17 |
| 1922488675 | Vitality Health & Wellness LLC | Specialist | 801 4th Street, Miami Beach, FL 33139-6823 | 2015-06-08 |
| 1205228780 | Gavin Ravens | Specialist | 540 West Ave Apt 1412, Miami Beach, FL 33139-6782 | 2015-02-20 |
| 1770910119 | Pamela Tasan | Specialist | 1604 Meridian Ave, #11, Miami Beach, FL 33139-2852 | 2013-09-30 |
| 1134414873 | Susan Gauthier | Specialist | 827 84th St, Miami Beach, FL 33141-1105 | 2011-06-10 |
| 1669605333 | Mylene A Moreno | Specialist | 1330 West Ave Apt 1911, Miami Beach, FL 33139-0908 | 2009-08-28 |
| 1225229222 | Cheryl B Model | Specialist | 3156 Royal Palm Ave, Miami Beach, FL 33140-3938 | 2007-08-05 |
| 1992825285 | Florida Rehabilitation Services Usa, Inc | Specialist | 90 Alton Rd, Suite # 1902, Miami Beach, FL 33139-6707 | 2007-03-30 |
| 1518041029 | Fabian A Lopez | Specialist | 1345 Lincoln Rd Apt 1205, Miami Beach, FL 33139-2271 | 2006-10-24 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.