Marijo S De la Cruz, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

058051 Issued in FL

Practice address

10150 Highland Manor Dr Ste 240
Tampa, FL 33610-9750

Phone

(813) 259-1013

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• Optimum HealthCare 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.

• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  NPD (past)
• Largo Physician Group, LLC

  • Pediatrics Physician
  • Brooksville, FL
  • NPI 1578732889
  NPD (past)
• Sun Coast Hospital Inc

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1326058256
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1841262680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 IOWA AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109750",
            "telephone_number": "813-259-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1954 Iowa Ave NE",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337033426",
            "country_code": "US",
            "telephone_number": "727-669-3800",
            "fax_number": "727-669-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "MARIJO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "058051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261550900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joselyn De Jesus-Gonzalez
• Luis De Jesus, CAA
• Zuleinie Yeraly De Jesus, RCSWI
• Diana Karen Padilla De la Cruz, PA-C
• Francisco De la Cruz, APRN
• Pamela M De la Cruz
• Caitlin De la Fe
• Grethel De la Fuente
• Jolene Jolene De la Gardelle, MPA
• Eilen Maria De la Masa Arias

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.