Individual provider · Type 1 NPI
Jacqueline Stephanie De la Cruz, MD
General Practice Physician · Port St. Lucie, FL
NPI number
1467276295
Active
Practice location
9109 S US Highway 1 Ste 101
Port St. Lucie, FL 34952-3453
Fax (772) 398-1307
Mailing address
PO Box 4189
Deerfield Beach, FL 33442-4189
Other practice locations
- 672 SW Prima Vista Blvd Ste 101, Port St. Lucie, FL 34983-1820 · (772) 905-2555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN1719 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Port St. Lucie
- Regine Dorvil, MDGeneral Practice Physician Port St. Lucie, FL NPI 1043674880
- Luis Enrique FernandezGeneral Practice Physician Port St. Lucie, FL NPI 1063866234
- Tamelia D. Lakraj-Edwards, MDGeneral Practice Physician Port St. Lucie, FL NPI 1114367802
- Debbie Michelle Sevilla, MDGeneral Practice Physician Port St. Lucie, FL NPI 1245737758
- Miguel Angel Gonzalez Perez, MDGeneral Practice Physician Port St. Lucie, FL NPI 1285604322
- Jorge Manuel Gomez Vizcarra, MDGeneral Practice Physician Port St. Lucie, FL NPI 1366911471
- Kanould Dolcine, MDGeneral Practice Physician Port St. Lucie, FL NPI 1366962979
- Denis A. Vilchez, MDGeneral Practice Physician Port St. Lucie, FL NPI 1548332943
About NPI 1467276295
Jacqueline Stephanie De la Cruz, MD's National Provider Identifier is 1467276295, issued on Nov 8, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 19, 2026.