ALEJANDRO ELOY DE LA CRUZ MD PA (NPI# 1720375306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720375306 |
| Entity Type | Organization |
| Organization Name | ALEJANDRO ELOY DE LA CRUZ MD PA |
| Practice Address |
13214 Sw 8th St Miami FL 33184-1176 |
| Mailing Address |
155 Sw 136th Ave Miami FL 33184-1017 |
| Practice Telephone | 3058312789 |
| Practice Fax Number | 3054404089 |
| Mailing Telephone | 3058312789 |
| Mailing Fax Number | 3054404089 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. ALEJANDRO ELOY DE LA CRUZ (PRESIDENT) |
| Authorized Official Telephone | 3058312789 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME 109588 | FL | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME 109588 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004142600 | 05 | |
| FL | PTAN | FJ643Z | 01 |
| Street Address |
13214 SW 8TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33184-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487827242 | Julio Cesar Reyes-gavilan | General Practice | 13214 Sw 8th St, Miami, FL 33184-1176 | 2008-04-11 |
| 1366058646 | De La Cruz Medical Center LLC | Community/Behavioral Health | 13214 Sw 8th St, Miami, FL 33184-1176 | 2020-09-22 |
| 1235765793 | Ricardo Tome Quintana | Nurse Practitioner | 13214 Sw 8th St, Miami, FL 33184-1176 | 2020-03-17 |
| 1245521186 | Alejandro Eloy De La Cruz | Internal Medicine | 13214 Sw 8th St, Miami, FL 33184-1176 | 2011-04-26 |
| 1265763817 | Prestige Medical Care Inc | Clinic/Center | 13214 Sw 8th St, Miami, FL 33184-1176 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360995 | Project Access Foundation Inc | Clinic/Center | 3661 S Miami Ave Ste 702, Miami, FL 33133-4214 | 2019-01-11 |
| 1609367309 | Hold The Lines | Clinic/Center | 111 E Flagler St Apt 404, Miami, FL 33131-1107 | 2018-05-29 |
| 1679012561 | Quintero & Kontopoulos, Pllc | Clinic/Center | 3850 Bird Rd Ste 401, Miami, FL 33146-1515 | 2017-02-13 |
| 1912459272 | Endocrine Health and Wellness of South Florida | Clinic/Center | 12060 Sw 129th Ct Ste 205, Miami, FL 33186-4582 | 2016-11-02 |
| 1437597432 | Duviel Irizarry LLC | Clinic/Center | 1717 N Bayshore Dr Ste 230, Miami, FL 33132-1195 | 2013-06-12 |
| 1518296573 | Paule Bazile, LLC | Clinic/Center | 6464 N. Miami Ave, Miami, FL 33150-4520 | 2009-12-21 |
| 1336477397 | Nova Southeastern University | Clinic/Center | 8501 Sw 124th Ave Ste 111, Miami, FL 33183-4631 | 2009-12-02 |
| 1396073714 | Premier Orthopedic & Neurosurgical Group, LLC | Clinic/Center | 9085 Sw 87th Ave Ste 205, Miami, FL 33176-2309 | 2009-11-23 |
| 1285852947 | Chauncey B Witcraft Md PC | Clinic/Center | 310 2nd Ave Sw Ste 105, Miami, OK 74354-6708 | 2007-04-20 |
| 1063502052 | Alpha Medical, Inc. | Clinic/Center | 9280 Sw 72nd St # 102, Miami, FL 33173-3240 | 2006-10-13 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on ALEJANDRO ELOY DE LA CRUZ MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.