Jose R Delacruz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8141 Issued in FL

Practice address

1590 NW 10TH Ave
Suite 301
Boca Raton, FL 33486-1313

Phone

(561) 395-3443

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Somi Dental Group of Boca Raton, LLC

  • Dentist
  • Boca Raton, FL
  • NPI 1093481939
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710007257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-395-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 301",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-395-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Marie Dejong, PT
• Amy Del Barrio
• Veronica Del Calvo, MD
• David Christian Del Sol, MD
• Meagan Leigh Del Valle, OTR/L
• Lisa Delaney Camhi, RD MS LD/N
• Kimberly Delaney, APRN
• Lucia Delgado
• Delitefully Nutritious Inc
• Allan A Dellabella, D.C.

• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.