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NESTOR F DE LA CRUZ-MUNOZ JR. M.D.
NPI 1467483073
Surgery in Doral, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
3650 NW 82ND AVE, SUITE 302, DORAL, FL 33166(305) 856-4385(305) 856-4301 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2025, Aug 3, 2017 (2 updates tracked since 2017).

About Nestor F De La Cruz-munoz Jr. M.d. NPPES

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

NESTOR F DE LA CRUZ-MUNOZ JR. M.D. (NPI 1467483073) is an individual surgery provider in Doral, Florida, licensed in Florida (ME71258) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1994).

NPPES Registry Identity

NPI1467483073
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNESTOR F DE LA CRUZ-MUNOZ JR.Credential: M.D.
Location Address3650 NW 82ND AVE, SUITE 302Doral, FL 33166-6658
Mailing Address6801 Sw 112th StPinecrest, FL 33156-3976 · (305) 205-8897 · Fax (305) 856-4301
Phone(305) 856-4385
Fax(305) 856-4301
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1994
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1467483073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME71258
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3650 NW 82ND AVE, Doral, FL 33166
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nestor F De La Cruz-munoz Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981744802
PECOS Enrollment IDI20091226000012
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAYVIS IGLESIAS MD
Family Medicine
3650 NW 82ND AVE, SUITE 502
DORAL, FL 33166
Miami-Dade County (305) 594-9333
TENET FLORIDA PHYSICIAN SERVICES, LLC
Family Medicine
3650 NW 82ND AVE, STE 502
DORAL, FL 33166
Miami-Dade County (305) 594-9333
ARIOL LABRADA MD PA
Psychiatry & Neurology (Neurology)
3650 NW 82ND AVE, STE 203
DORAL, FL 33166
Miami-Dade County (786) 703-7068
YARELIE CRUZ D.M.D
Dentist (General Practice)
3650 NW 82ND AVE, STE 402
DORAL, FL 33166
Miami-Dade County (305) 853-6997
DR. EFREN BUITRAGO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3650 NW 82ND AVE, SUITE 208
DORAL, FL 33166
Miami-Dade County (305) 406-3596
DR. MARINA EUGENIA AMELINCKX DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
3650 NW 82ND AVE, #305
DORAL, FL 33166
Miami-Dade County (305) 591-0999
ALFREDO REGO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3650 NW 82ND AVE, SUITE 208
DORAL, FL 33166
Miami-Dade County (305) 406-3596
ORTHONOW, LLC
Specialist
3650 NW 82ND AVE, SUITE 103
DORAL, FL 33166
Miami-Dade County (305) 537-7272

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 Nestor De La Cruz-munoz's NPI number?

The NPI number for Nestor De La Cruz-munoz is 1467483073. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Nestor De La Cruz-munoz located?

Nestor De La Cruz-munoz practices at 3650 NW 82nd Ave Suite 302, Doral, FL 33166. The listed phone number is (305) 856-4385.

What is Nestor De La Cruz-munoz's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nestor De La Cruz-munoz enrolled in Medicare?

Yes. Nestor De La Cruz-munoz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nestor De La Cruz-munoz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Nestor De La Cruz-munoz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nestor De La Cruz-munoz affiliated with any hospitals?

According to CMS data, Nestor De La Cruz-munoz is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Nestor De La Cruz-munoz was last updated on May 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.