JUAN ANTONIO CRUZ M.D.
NPI 1639166044
Internal Medicine in Miami, FL

Q: What is Juan Cruz's NPI number?

The NPI number for Juan Cruz is 1639166044. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Juan Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Cruz was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

20001 SW 127TH AVE, MIAMI, FL 33177(305) 406-2069(786) 577-4381 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, Sep 13, 2018, Feb 3, 2016 (3 updates tracked since 2016).

On this page

About Juan Antonio Cruz M.d. NPPES

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

JUAN ANTONIO CRUZ M.D. (NPI 1639166044) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME91723) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1639166044

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUAN ANTONIO CRUZCredential: M.D.

Location Address20001 SW 127TH AVEMiami, FL 33177-5118

Mailing Address6100 Blue Lagoon Dr Ste 365Miami, FL 33126-7010 · (786) 322-7333

Phone(305) 406-2069

Fax(786) 577-4381

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 30, 2005

Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2021

✔ NPI 1639166044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME91723

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

20001 SW 127TH AVE, Miami, FL 33177

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Other Identifiers 1

Medicaid277779700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida 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

Juan Antonio Cruz 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 ID2769482587

PECOS Enrollment IDI20061229000355

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33177 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

59%27 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. JESUS G NOGUER MD

General Practice

20001 SW 127TH AVE
MIAMI, FL 33177

Miami-Dade County (305) 406-2069

YORYANA VAQUER VILLAZON NP

Nurse Practitioner (Family)

20001 SW 127TH AVE
MIAMI, FL 33177

Miami-Dade County (305) 405-2069

LUIS RAMIREZ APRN

Nurse Practitioner (Family)

20001 SW 127TH AVE
MIAMI, FL 33177

Miami-Dade County (305) 406-2069

TOMAS A. RAMIREZ ARNP

Nurse Practitioner (Family)

20001 SW 127TH AVE
MIAMI, FL 33177

Miami-Dade County (305) 406-2069

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 Juan Cruz's NPI number?

The NPI number for Juan Cruz is 1639166044. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Juan Cruz located?

Juan Cruz practices at 20001 SW 127th Ave, Miami, FL 33177. The listed phone number is (305) 406-2069.

What is Juan Cruz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Juan Cruz enrolled in Medicare?

Yes. Juan Cruz 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 Juan Cruz accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Wellpoint list Juan Cruz 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.

When was this NPI record last updated?

The NPPES record for Juan Cruz was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.