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MAIDELY MEDINA CRUZATA PA
NPI 1114689171
Physician Assistant in Miami, FL

Active since October 07, 2021
200 SW 78TH CT, MIAMI, FL 33144(786) 291-1875 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maidely Medina Cruzata Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIDELY MEDINA CRUZATA PA (NPI 1114689171) is an individual physician assistant in Miami, Florida, licensed in Florida (PA9115143) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1114689171
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAIDELY MEDINA CRUZATACredential: PA
Location Address200 SW 78TH CTMiami, FL 33144-2329
Mailing Address200 Sw 78th CtMiami, FL 33144-2329 · (786) 291-1875
Phone(786) 291-1875
Sole ProprietorNo
Enumeration DateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
✔ NPI 1114689171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9115143
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 SW 78TH CT, Miami, FL 33144
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maidely Medina Cruzata's NPI number?

The NPI number for Maidely Medina Cruzata is 1114689171. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Maidely Medina Cruzata located?

Maidely Medina Cruzata practices at 200 SW 78th Ct, Miami, FL 33144. The listed phone number is (786) 291-1875.

What is Maidely Medina Cruzata's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Maidely Medina Cruzata was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.