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

Lourdes Marie Davila Cruz

Individual provider General Practice Physician · NPI 1902413990

Lourdes Marie Davila Cruz is a General Practice in Orlando, Florida. Qualified in 2010, 16 years ago. Practices with Primary Healthcare Associates, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2020

Practice location Address checks out

431 N Semoran Blvd
Orlando, FL 32807-3323
Phone: (407) 894-5054
Fax: (407) 894-7818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1407 (FL)

Record details

NPI number1902413990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Primary Healthcare Associates, Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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