Organization
ALEJANDRO ELOY DE LA CRUZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO ELOY DE LA CRUZ MD (PRESIDENT)
(305) 831-2789
Entity
Organization
Contact information
Practice address
13214 SW 8TH ST, MIAMI, FL 33184-1176
(305) 831-2789
(305) 440-4089
Mailing address
155 SW 136TH AVE, MIAMI, FL 33184-1017
(305) 831-2789
(305) 440-4089
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
ME 109588
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
ME 109588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004142600
—
FL
01
—
FJ643Z
PTAN
FL
Enumeration date
07/05/2011
Last updated
06/20/2018
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