Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Ariel Cruz Repollet, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609282722

Ivan Ariel Cruz Repollet, MD is a General Practice in Tampa, Florida. Qualified in 2014, 12 years ago. Practices with Guidewell Sanitas I, LLC, a 117-clinician group and accepts Medicare assignment. Licensed in Florida, Kansas and Puerto Rico.

Years since qualifying
12
Licensed in
FL, KS, PR
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4340 W Hillsborough Ave Ste 210
Tampa, FL 33614-5522
Phone: (813) 425-8970
Fax: (813) 425-8925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME153523 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 13,569-I (PR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0441252 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME153523 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 19,231 (PR)

Record details

NPI number1609282722
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Guidewell Sanitas I, Llc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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