DR. JAIRO B CRUZ JR. (NPI# 1609163153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609163153 |
| Entity Type | Individual |
| Full Name | DR. JAIRO B CRUZ JR. |
| Credential | DPM |
| Practice Address |
38192 Medical Center Ave Zephyrhills FL 33540-1380 |
| Practice Telephone | 8137823233 |
| Practice Fax Number | 8137825332 |
| Mailing Telephone | 8137823233 |
| Mailing Fax Number | 8137825332 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3671 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3671 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019478400 | 05 | |
| FL | MEDICARE PTAN IND | L2158 | 01 |
| FL | RR MCARE INDIVIDUAL | PO2398421 | 01 |
| FL | MEDICAL LICENSE | PO3671 | 01 |
| FL | BCBS INDIV ID | 14X4T | 01 |
| FL | TAX ID | 200626407 | 01 |
| FL | MEDICARE INDIVDUAL | L2158 | 01 |
| FL | NSC DME PTAN | 5157370001 | 01 |
| FL | GROUP NPI | 1326058249 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 Lithia Pinecrest Rd, Brandon, FL 335116713 | 8135025904 | 8137825332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295567 | Jairo Bispo Cruz | Internal Medicine | 3800 W 203rd St, Suite 204, Olympia Fields, IL 60461-1184 | 2006-04-19 |
| Street Address |
38192 MEDICAL CENTER AVE |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33540-1380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326058249 | Rajnish Manohar Dpm Pa | Podiatrist | 38192 Medical Center Ave, Zephyrhills, FL 33540-1380 | 2006-08-09 |
| 1427242700 | Rajnish Manohar | Podiatrist | 38192 Medical Center Ave, Zephyrhills, FL 33540-1380 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 1063654366 | John Paul Ross | Community Health Worker | 8520 Heather Dr., Zephyrhills, FL 33540 | 2009-04-01 |
| 1629243050 | Mission Home Care, Inc. | Home Health | 38332 Daughtery Road, Zephyrhills, FL 33540 | 2008-04-27 |
| 1346448727 | Paul L Chakola | Internal Medicine | 38152 Medical Center Ave, Zephyrhills, FL 33540 | 2007-07-06 |
| 1063596047 | Barbara Helena Czelusniak | Internal Medicine | 38184 Medical Center Ave, Zephyrhills, FL 33540 | 2006-10-25 |
| 1487761557 | Randolph A Knight | Orthopaedic Surgery | 38022 Medical Center Ave, Zephyrhills, FL 33540 | 2006-08-24 |
| 1568472652 | East Pasco Pulmonary & Critical Care Associates Inc | Internal Medicine | 38152 Medical Center Avenue, Zephyrhills, FL 33540 | 2006-08-09 |
| 1710996855 | Pavitar Singh Cheema | Urology | 38023 Medical Center Ave, Zephyrhills, FL 33540 | 2006-08-07 |
| 1710908967 | Chandresh Saraiya | Internal Medicine | 38029 Arbor Ridge, Zephryhills, FL 33540 | 2006-07-22 |
| 1720593650 | Diane Newkirk | Physical Therapy Assistant | 7350 Dairy Rd, Zephyrhills, FL 33540 | 2017-12-14 |
| Find all providers in zip 33540 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326058249 | Rajnish Manohar Dpm Pa | Podiatrist | 38192 Medical Center Ave, Zephyrhills, FL 33540-1380 | 2006-08-09 |
| 1396722898 | Scott M Labohn | Podiatrist | 38105 13th Ave, Zephyrhills, FL 33542-3437 | 2005-12-27 |
| 1548430416 | Ankle & Foot Center of Tampa Bay | Podiatrist | 38105 13th Ave, Zephyrhills, FL 33542-3437 | 2008-03-07 |
| 1427242700 | Rajnish Manohar | Podiatrist | 38192 Medical Center Ave, Zephyrhills, FL 33540-1380 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295079 | Pardee Foot Clinic | Podiatrist | 1808 W International Speedway Blvd Ste 304a, Daytona Beach, FL 32114-1227 | 2020-11-04 |
| 1699393546 | Michael C. Flatley, Dpm, Pa | Podiatrist | 674 Barrington Cir, Winter Springs, FL 32708-6115 | 2020-07-08 |
| 1649895822 | Fred E Gatiher II Dpm | Podiatrist | 2 Miracle Strip Loop Ste 3, Panama City Beach, FL 32407-8412 | 2020-06-12 |
| 1780204602 | Pinnacle Foot and Ankle Centers, LLC | Podiatrist | 1801 Se Hillmoor Dr Ste A-103, Port St Lucie, FL 34952-7545 | 2020-04-21 |
| 1265081632 | Family Podiatry of Central Florida Pa | Podiatrist | 450 W Central Pkwy Fl 2, Altamonte Springs, FL 32714-2436 | 2019-09-09 |
| 1184270183 | Stephen F Levin Dpm Pa | Podiatrist | 4202 W Waters Ave Ste 6, Tampa, FL 33614-1972 | 2019-08-15 |
| 1861045155 | Olupona Foot and Ankle, LLC | Podiatrist | 1600 Nw 17th Ave, Miami, FL 33125-2327 | 2019-07-17 |
| 1356993398 | Gary Barbosa | Podiatrist | 3182 Edgemoore Drive, Palm Harbor, FL 34685 | 2019-07-10 |
| 1982262358 | Foot and Ankle Network | Podiatrist | 8323 Nw 12th St Ste 204, Doral, FL 33126-1840 | 2019-05-31 |
| 1750845491 | Gentle Touch Podiatric Care Pa | Podiatrist | 100 Golden Isles Dr Apt 610, Hallandale Beach, FL 33009-5824 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33540 |
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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.