Active NPI
Alejandro Eloy de la Cruz MD PA
- Medical Specialty Clinic/Center
- Miami, FL
National Provider Identifier
1720375306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME 109588
- Legal business name
- ALEJANDRO ELOY DE LA CRUZ MD PA
- Practice address
- 13214 SW 8TH St
Miami, FL 33184-1176 - Phone
- (305) 831-2789
- Fax
- (305) 440-4089
- NPI assigned
- Jul 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alejandro Eloy De la Cruz, MD
- Title
- President
- Phone
- (305) 831-2789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | ME 109588 | FL | |
| Medical Specialty Clinic/Center | 261QM2500X | ME 109588 | 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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FJ643Z | Other | FL | PTAN |
| 004142600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4114 W 12th Ave
Hialeah, FL 33012
Phone (305) 824-8663
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1245521186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1720375306",
"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": {
"organization_name": "ALEJANDRO ELOY DE LA CRUZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-05",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "DE LA CRUZ",
"authorized_official_first_name": "ALEJANDRO",
"authorized_official_middle_name": "ELOY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-831-2789",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "ME 109588",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "FL",
"license": "ME 109588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "FJ643Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004142600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.