# ALEJANDRO ELOY DE LA CRUZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720375306
- **Authorized official:** DR. ALEJANDRO ELOY DE LA CRUZ MD (PRESIDENT)
- **Authorized official phone:** (305) 831-2789

## Contact information

- **Practice address:** 13214 SW 8TH ST, MIAMI, FL 33184-1176
- **Practice address phone:** (305) 831-2789
- **Practice address fax:** (305) 440-4089
- **Mailing address:** 155 SW 136TH AVE, MIAMI, FL 33184-1017
- **Mailing address phone:** (305) 831-2789
- **Mailing address fax:** (305) 440-4089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | ME 109588 | FL | — |
| 261QM2500X | Medical Specialty Clinic/Center | ME 109588 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 06/20/2018