Individual provider · Type 1 NPI
Thalia Leon Cruz
Gerontology Nurse Practitioner · Homestead, FL
NPI number
1376486530
Active
Practice location
1116 E Mowry Dr
Homestead, FL 33030-8210
Mailing address
1116 E Mowry Dr Apt 102
Homestead, FL 33030-8169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11046415 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1376486530
Thalia Leon Cruz's National Provider Identifier is 1376486530, issued on Apr 13, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Homestead, FL. The record was last updated on Apr 13, 2026.