Provider Demographics
NPI:1689913543
Name:AQUINO DE LA CRUZ, DIORCA ANGELINA (MD)
Entity Type:Individual
Prefix:MS
First Name:DIORCA
Middle Name:ANGELINA
Last Name:AQUINO DE LA CRUZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 CYPRESS GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7560
Mailing Address - Country:US
Mailing Address - Phone:407-635-3211
Mailing Address - Fax:407-636-7894
Practice Address - Street 1:1170 CYPRESS GLEN CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7560
Practice Address - Country:US
Practice Address - Phone:407-635-3211
Practice Address - Fax:407-636-7894
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015021614207R00000X
FLME140553207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine