121 Medical P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

121 MEDICAL P.C.

Doing business as

El Socorro MVDS

Practice address

2711 Henry Hudson Pkwy Apt 2a
Bronx, NY 10463-4714

Phone

(212) 567-4931

NPI assigned

Feb 21, 2020

Last updated

May 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janil Cruz

Title

Office Manager

Phone

(212) 567-4931

Specialties & licenses 1

Addresses

Other names 1

• El Socorro MVDS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derelis Movilla, PA

  • Physician Assistant
  • Astoria, NY
  • NPI 1679349310
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1235762899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 HENRY HUDSON PKWY APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634714",
            "telephone_number": "212-567-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 HENRY HUDSON PKWY APT 2A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634714",
            "telephone_number": "212-567-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JANIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-567-4931"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Socorro MVDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "El Socorro MVDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.