Individual provider Active NPI

Alejandro Eloy De la Cruz, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1245521186
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109588 Issued in FL
Practice address
13214 SW 8TH St
Miami, FL 33184-1176
Phone
(305) 831-2789
Fax
(305) 440-4089
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME109588 FL Primary

Addresses

Primary practice location

13214 SW 8TH St
Miami, FL 33184-1176

Mailing address

155 SW 136TH Ave
Miami, FL 33184-1017
Phone (305) 831-2789

Other identifiers 1

IdentifierTypeStateIssuer
004142600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110921000588 FL Practitioner - Internal Medicine 6901077098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13214 SW 8TH St
Miami, FL 33184-1176
Phone (305) 590-8286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME109588FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alejandro Eloy de la Cruz MD PA CurrentSince Jul 28, 2011 Accepting new patients
Bergen Orthopedics, Inc. Past Accepting new patients

Locations

13214 SW 8th St
Miami, FL 33184
Phone (305) 590-8286

Interoperability endpoints

  • Direct secure messaging: wghadelac@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1245521186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SW 136TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841017",
            "telephone_number": "305-831-2789",
            "fax_number": "305-440-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13214 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841176",
            "telephone_number": "305-831-2789",
            "fax_number": "305-440-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "ALEJANDRO",
        "middle_name": "ELOY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004142600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.