| Doctor Name: | JEFFREY T DE LA CRUZ |
| NPI Number: | 1699840850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1001 N Federal Hwy Ste 301 Hallandale Beach, FL - 330092416 |
| Business Phone Number: | 9544552869 |
| Business Fax Number: | |
| Mailing Address: | 666 W 81st St, HIALEAH |
| State: | FL |
| Postal Code: | 330144166 |
| Phone Number: | 9544552869 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |