Individual
MR. REYNALDO DE LA CRUZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7420 MARLBORO PIKE, FORESTVILLE, MD 20747-4343
(301) 736-0240
(240) 628-7472
Mailing address
4508 HARVEST RD, TEMPLE HILLS, MD 20748-3612
(202) 945-2893
(240) 628-7472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024192953
VA
363LF0000X
Family Nurse Practitioner
1194340
TX
363LF0000X
Family Nurse Practitioner
Primary
AC007598
MD
363LF0000X
Family Nurse Practitioner
Primary
F02250107
VA
Other
Enumeration date
02/03/2025
Last updated
05/19/2026
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