| De La Cruz Health | |
|
4634 Nw 27th Ave Miami FL 33142-3510 | |
| (786) 275-4680 | |
| (305) 603-9934 |
| Full Name | De La Cruz Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4634 Nw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Yilian Cruz (PRESIDENT) |
| Authorized Official Contact | 7866670070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Cruz Health 4634 Nw 27th Ave Miami FL 33142-3510 Ph: (786) 667-0070 | De La Cruz Health 4634 Nw 27th Ave Miami FL 33142-3510 Ph: (786) 275-4680 |
| NPI Number | 1588246524 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 9436549102 |
|---|---|
| Medicare Enrollment ID | O20211213000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588246524 | NPI | - | NPPES |
| Provider Name | Samir Rameshchandra Shah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881893741 PECOS PAC ID: 6507080736 Enrollment ID: I20190925002827 |
| Provider Name | Alexis Martinez Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346875622 PECOS PAC ID: 2264873082 Enrollment ID: I20240510002452 |
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