Provider Demographics
NPI:1124561592
Name:DE LA CRUZ MARTINEZ, JAVIER AMHED (MD)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:AMHED
Last Name:DE LA CRUZ MARTINEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR STE 6800
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3417
Mailing Address - Country:US
Mailing Address - Phone:561-832-0183
Mailing Address - Fax:561-832-7955
Practice Address - Street 1:1411 N FLAGLER DR STE 6800
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3417
Practice Address - Country:US
Practice Address - Phone:561-832-0183
Practice Address - Fax:561-832-7955
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020006793207R00000X, 208M00000X
FLME133427207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist