Basic Information
| Provider Information | |||||||||
| NPI: | 1710183843 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HIRAM A CUEVAS MD INC | ||||||||
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| OtherOrganizationName: | MEDITECH MEDICAL CENTERS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7926 W HILLSBOROUGH AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336154600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138885342 | ||||||||
| FaxNumber: | 8138859684 | ||||||||
| Practice Location | |||||||||
| Address1: | 7926 W HILLSBOROUGH AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336154600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8138885342 | ||||||||
| FaxNumber: | 8138859684 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2007 | ||||||||
| LastUpdateDate: | 03/14/2013 | ||||||||
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| AuthorizedOfficialLastName: | CUEVAS | ||||||||
| AuthorizedOfficialFirstName: | HIRAM | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 8138856538 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | ME45721 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.