| Dr Enrique Jose De La Cruz Hernandez, MD | |
|
9740 N 56th St Ste B, Temple Terrace, FL 33617-5500 | |
| (813) 200-7717 | |
| (833) 449-2451 |
| Full Name | Dr Enrique Jose De La Cruz Hernandez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 24 Years |
| Location | 9740 N 56th St Ste B, Temple Terrace, 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Tampa, FL | Home health agency |
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Family Physicians Llc | 0749226439 | 86 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enrique Jose De La Cruz Hernandez, MD 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (833) 702-8383 | Dr Enrique Jose De La Cruz Hernandez, MD 9740 N 56th St Ste B, Temple Terrace, FL 33617-5500 Ph: (813) 200-7717 |
Dr. Thomas Francis Renny, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 9512 Woodland Ridge Dr, Temple Terrace, FL 33637 Phone: 813-989-9962 | |
Ahmed Ali Alhassani, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 786-868-0012 | |
Aman Sunderji, DO General Practice Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-773-6658 |