Heriberto Cruz, is a medicare enrolled "Physician Assistant" provider in Winter Park, Florida. His current practice location is
1573 W Fairbanks Ave Ste 210, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 646-7845.
Heriberto Cruz is licensed to practice in Florida (license number PA9117573) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932661584.
Healthcare Provider's Profile
Full Name | Heriberto Cruz |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1573 W Fairbanks Ave Ste 210, Winter Park, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932661584
- Provider Enumeration Date: 04/03/2019
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587028501
- Enrollment ID: I20230908003678
Medical Identifiers
Medical identifiers for Heriberto Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932661584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | (Florida) | Secondary |
363A00000X | Physician Assistant | PA9117573 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heriberto Cruz is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Heriberto Cruz, 1573 W Fairbanks Ave Ste 210, Winter Park, FL 32789-4679 Ph: (407) 646-7845 | Heriberto Cruz, 1573 W Fairbanks Ave Ste 210, Winter Park, FL 32789-4679 Ph: (407) 646-7845 |
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