Dr Enrique Jose De La Cruz Hernandez, MD | |
13045 Summerfield Square Dr, Riverview, FL 33578-7402 | |
(813) 672-1385 | |
(813) 672-8904 |
Full Name | Dr Enrique Jose De La Cruz Hernandez |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 22 Years |
Location | 13045 Summerfield Square Dr, Riverview, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689920548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME143269 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aegis Medical Group Llc | 8022324862 | 28 |
Entity Name | Orlando Family Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568563187 PECOS PAC ID: 0749226439 Enrollment ID: O20050705000200 |
Entity Name | Aegis Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356769384 PECOS PAC ID: 8022324862 Enrollment ID: O20150825003518 |
Mailing Address | Practice Location Address |
---|---|
Dr Enrique Jose De La Cruz Hernandez, MD 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (727) 937-3280 | Dr Enrique Jose De La Cruz Hernandez, MD 13045 Summerfield Square Dr, Riverview, FL 33578-7402 Ph: (813) 672-1385 |
Dr. Jaime R. Gierbolini, M. D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10141 Big Bend Rd Ste 206, Riverview, FL 33578 Phone: 813-397-1274 Fax: 813-605-6003 | |
Kristina Mabel Nieves Quinones, MD General Practice Medicare: Medicare Enrolled Practice Location: 9088 Progress Blvd, Riverview, FL 33578 Phone: 813-444-0220 Fax: 813-367-1961 | |
Maria Aurora Campa Huergo, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 813-741-2100 Fax: 813-741-2003 | |
Jorge Mario Gomez Bustamante, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33578 Phone: 855-226-6633 | |
Dr. Melissa Dawn Fickey, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6332 Us Highway 301 S, Riverview, FL 33578 Phone: 813-662-5919 Fax: 813-671-8374 | |
Raul Ernesto Ayala, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 10508 Gibsonton Dr, Riverview, FL 33569 Phone: 813-741-2100 Fax: 813-741-2003 |