Alfonso Cruz DMD PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALFONSO CRUZ DMD PA

Practice address

1657 Taylor Rd Ste 106
Port Orange, FL 32128-7516

Phone

(386) 631-6471

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ALFONSO CRUZ DMD PAAs reported in NPPES

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

Authorized official

Name

Dr. Alfonso Cruz, DMD

Title

Dentist

Phone

(386) 631-6471

Specialties & licenses 1

Addresses

Part of

Alfonso Cruz DMD PA

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfonzo Cruz, DMD

  • General Practice Dentistry
  • Deltona, FL
  • NPI 1447773841
  NPD

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1730826249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 TAYLOR RD STE 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287516",
            "telephone_number": "386-631-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 TAYLOR RD STE 106",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287516",
            "telephone_number": "386-631-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO CRUZ DMD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALFONSO CRUZ DMD PA",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "386-631-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albertsons LLC (Super Saver Savon Pharmacy)
• Marcella Albritton
• Albrook Medical, Inc.
• Elizabeth Aleo
• Chelsea Alexander, OT
• Joah Francis Aliancy, MD
• Align Chiropractic and Family Wellness, Inc.
• Suheir Aljundi
• Hassan Alkhatib, M.D
• All Family Healthcare

• Dental Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.