Individual provider · Type 1 NPI

Jacob Gabrielle Gomez Dela Cruz, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1245157833 Active

Practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Call (667) 234-5724 Map

Fax (667) 234-3525

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245157833

Jacob Gabrielle Gomez Dela Cruz, MD's National Provider Identifier is 1245157833, issued on Jul 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 2, 2026.