Jacqueline Stephanie De la Cruz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1719 Issued in FL

Practice address

9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453

Phone

(772) 398-1305

Fax

(772) 398-1307

NPI assigned

Nov 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Medical Consultants of Florida, LLC

  • Internal Medicine Physician
  • Deerfield Beach, FL
  • NPI 1619169810

  General Practice

  Medicare reassignment Care Compare group NPD
• Medical Consultants of Florida, LLC

  • Non-Pharmacy Dispensing Site
  • Port St Lucie, FL
  • NPI 1396511465
  NPD
• Xpress Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Port St Lucie, FL
  • NPI 1841566395

  General Practice

  NPD

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1467276295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 S US HIGHWAY 1 STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523453",
            "telephone_number": "772-398-1305",
            "fax_number": "772-398-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SW Prima Vista Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-905-2555",
            "fax_number": "772-336-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "JACQUELINE",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126547500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Ruben Aldo Dawson, NP-C
• Kenyel Day
• Jennifer De Gennaro Bruzon
• Melanie De Guzman, ARNP
• Marielina De la Cruz Garlobo
• Gina Louise De Loretta, RD (REGISTERED DIETI
• Ingrid J De Mavarez
• Raquel Y De Oliveira, LCSW
• Kyra De Vito
• Martine Ann Decambre, D.D.S.

• General Practice Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.