DR. ENRIQUE JOSE DE LA CRUZ HERNANDEZ (MD) – General Practice Physician, NPI 1689920548
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ENRIQUE JOSE DE LA CRUZ HERNANDEZ (MD)
4915 MILE STRETCH DR
HOLIDAY, FL 346904334
Phone: (727) 938-8443
Type: Mailing
3800 RESERVOIR RD NW
DEPT OF SURGERY
WASHINGTON, DC 200072113
Phone: (202) 444-1233
Fax: (202) 444-7422
Type: Location
425 W COLONIAL DR STE 303
ORLANDO, FL 328046863
Phone: (833) 702-8383
Fax: (689) 304-0303
Type: Mailing
9740 N 56TH ST STE B
TEMPLE TERRACE, FL 336175500
Phone: (813) 200-7717
Fax: (833) 449-2451
Type: Location
9740 N 56th St STE B
Temple Terrace, FL 336175500
Phone: (813) 200-7717
Fax: (813) 985-8500
Type: Location
4931 MILE STRETCH DR
HOLIDAY, FL 346904348
Phone: (727) 937-3280
Fax: (727) 943-0301
Type: Location
13045 SUMMERFIELD SQUARE DR
RIVERVIEW, FL 335787402
Phone: (813) 672-1385
Fax: (813) 672-8904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: PFIZER INC. ($40).
Total Amount
$60
General + Research + Ownership
Payments
3
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $40 |
| Amgen Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200102000650 | I | General Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 51 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 32 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | 29 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 21 | 16 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 34690)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL |
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