De La Cruz, Fausto A
De La Cruz, Fausto A is an sole proprietor health care provider with primary practice located at 603 N Flamingo Rd #357, Pembroke Pines FL 33028-1023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. De La Cruz, Fausto A can be contacted via phone (954) 450-8488.Contact Information
Primary practice address
603 N Flamingo Rd #357
Pembroke Pines FL 33028-1023
Phone: (954) 450-8488
Fax: (954) 950-8860
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0048782 | Florida |
Profile Details
NPI number | 1376535484 |
---|---|
LBN Legal business name | De La Cruz, Fausto A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2005 |
Last updated | Nov 18th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376535484 | NPPES |
Florida | MEDICAID | 379570500 |
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