Individual provider · Type 1 NPI

Reynaldo De la Cruz Jr.

Family Nurse Practitioner · Forestville, MD

NPI number 1104630003 Active

Practice location

7420 Marlboro Pike
Forestville, MD 20747-4343

Fax (240) 628-7472

Mailing address

4508 Harvest Rd
Temple Hills, MD 20748-3612

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAC007598 (MD)
Family Nurse Practitioner 363LF0000X0024192953 (VA)
Family Nurse Practitioner 363LF0000X1194340 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1104630003

Reynaldo De la Cruz Jr.'s National Provider Identifier is 1104630003, issued on Feb 3, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forestville, MD. The record was last updated on May 19, 2026.