Active NPI
Jeffrey Dela Cruz Dela Cruz, MD
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N3608
- Practice address
- 6550 Fannin St
Suite 1901
Houston, TX 77030-2717 - Phone
- (713) 441-1100
- Fax
- (713) 790-2643
- NPI assigned
- Sep 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 001933 | GA | |
| Internal Medicine Physician | 207R00000X | N3608 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 1901
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 1901
Houston, TX 77030-2717
Phone (713) 441-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407041395 | Other | TX | BLUE CROSS BLUE SHIELD |
| 206318201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001933 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients |
Locations
1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000
1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rio Grande State Center
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
-
dba Big Spring State Hospital
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1407041395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1901",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-1100",
"fax_number": "713-790-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1901",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-1100",
"fax_number": "713-790-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "JEFFREY",
"middle_name": "DELA CRUZ",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-13",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "001933",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N3608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1407041395",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206318201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.