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NPI Code Detail

MEDICARE: JAVIER DE LA CRUZ ARNP

MEDICARE:   JAVIER  DE LA CRUZ  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner9311530FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124064415
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVIER DE LA CRUZ ARNP
Provider Business Mailing Address
First Line : 9804 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3912
Country : US
Telephone Number : 786-319-3773
Fax Number :
Provider Business Practice Location Address
First Line : 9804 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3912
Country : US
Telephone Number : 786-319-3773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/18/2013

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Directions to “ JAVIER DE LA CRUZ ARNP” Practice Location

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