Christopher Bueno De la Cruz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA31205 Issued in FL

Practice address

12601 Sorrento Rd
Pensacola, FL 32507-8762

Phone

(850) 908-2570

NPI assigned

Feb 24, 2023

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

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1871292250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 PINFISH RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325069777",
            "telephone_number": "732-397-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078762",
            "telephone_number": "850-908-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "BUENO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA31205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DC Healthcare Professional Limited Liability Company
• Juliet Marie De Campos, M.D.
• Daniel Peter De Cecchis, M.D.
• Jessica A De Guzman
• Jessica Lauren Roberts De Haan, MD
• Destiny N De la Garza
• De Luna Operating Investments LLC
• Adrian Victor De Moya, DMD, MSD
• Atticus Lawton Deacon, DMD
• Deaf and Hard of Hearing Services of the Emerald Coast, Inc.

• All providers in Pensacola, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.