RAQUEL FIGUERAS CRUZ MD
NPI 1316375637
Pediatrics in Vero Beach, FL
NPI Status: Active since October 23, 2013
Contact Information
787 37TH ST STE 140
VERO BEACH, FL
ZIP 32960
Phone: (772) 257-8224
Fax: (772) 252-3245
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About RAQUEL FIGUERAS CRUZ
This page provides the complete NPI Profile along with additional information for Raquel Figueras Cruz, a pediatrician established in Vero Beach, Florida with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1316375637 assigned on October 2013. The practitioner's primary taxonomy code is 208000000X with license number ME155956 (FL). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1316375637
- Provider Name
- RAQUEL FIGUERAS CRUZ MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 787 37TH ST STE 140 VERO BEACH, FL 32960
- Location Phone
- (772) 257-8224
- Location Fax
- (772) 252-3245
- Mailing Address
- 1555 INDIAN RIVER BLVD STE B210 VERO BEACH, FL 32960
- Mailing Phone
- (772) 257-8224
- Mailing Fax
- (772) 252-3245
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2013
- Last Update Date
- 02-05-2025
- Code Navigator
A pediatrician like Raquel Figueras Cruz is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME155956
- License State
- FL
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
- Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
- Bronze Standard 1828 - HMO
- Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
- Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
- Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
- Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ME155956 | OTHER (01) | FL | STATE LICENSE |
Medicare Participation & PECOS Enrollment Status
Raquel Figueras Cruz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32960 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.69
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $22.92
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.21
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $25.8
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 3 | 7 | 5 | 6 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 6 | 7 | 10 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 6 + 7 + 1 + 0 + 6 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1316375637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780644146 | SUSAN ANN HENDRICKSON APRN Individual | Nurse Practitioner (Family) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1932514908 | REBECCA LYNN HAMLIN APRN Individual | Nurse Practitioner (Family) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1669657078 | DR. KAREN RICHARDS STEPHENSON DNP, ARNP-BC Individual | Nurse Practitioner (Family) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1538216072 | LINDA STRAIN FAUST MD Individual | Pediatrics | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1649338492 | DR. DIDAR SINGH SARAI MD Individual | Family Medicine | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1154098721 | TREASURE COAST COMMUNITY HEALTH INC Organization | Counselor (Mental Health) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1205503836 | TREASURE COAST COMMUNITY HEALTH INC Organization | Family Medicine | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1376010504 | TREASURE COAST COMMUNITY HEALTH INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1588064208 | MR. MALCOLM COOK NURSE PRACTITIONER Individual | Nurse Practitioner (Psychiatric/Mental Health) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1922015163 | DR. LAURENCE SCOTT GREENSPOON M.D. Individual | Family Medicine | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1932748183 | HEIDI SMITH APRN Individual | Nurse Practitioner (Family) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1962495945 | DR. SOBIA JAVED KHAWAJA M.D. Individual | Pediatrics | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
| 1891701355 | DR. JENNIFER MOORE M.D. Individual | Obstetrics & Gynecology (Gynecology) | 787 37TH ST STE 140 VERO BEACH, FL 32960 (772) 257-8224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316375637, enumerated in the NPI registry as an "individual" on October 23, 2013
The provider is located at 787 37th St Ste 140 Vero Beach, Fl 32960 and the phone number is (772) 257-8224
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: AvMed, Cigna Healthcare, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $91.69 with an average copayment of $22.92 for new patient appointments. Established patients should expect a typical charge of $103.21 and an average copayment of 25.8. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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