Organization
DE LA CRUZ MENTAL HEALTH LLC
Active
Other names
DE LA CRUZ HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
YILIAN CRUZ (PRESIDENT)
(786) 667-0070
Entity
Organization
Contact information
Practice address
4634 NW 27TH AVE, MIAMI, FL 33142-3510
(786) 275-4680
(305) 603-9934
Mailing address
4634 NW 27TH AVE, MIAMI, FL 33142-3510
(786) 667-0070
(305) 603-9934
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
225100000X
Physical Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/28/2021
Last updated
09/18/2024
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