MEDICARE: ELVIN CRUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1235061409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELVIN CRUZ

Provider Business Mailing Address
First Line	:	17640 DANSVILLE DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34610-2837
Country	:	US
Telephone Number	:	813-598-0693
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 MEMORIAL HWY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-843-6501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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