Basic Information
Provider Information | |||||||||
NPI: | 1881983195 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | MARIA LUISA S CUEVAS MD INC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 7550 LUCERNE DR | ||||||||
Address2: | SUITE 405 | ||||||||
City: | MIDDLEBURG HTS | ||||||||
State: | OH | ||||||||
PostalCode: | 441306588 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8005566236 | ||||||||
FaxNumber: | 4402343313 | ||||||||
Practice Location | |||||||||
Address1: | 1050 ISSAC STS | ||||||||
Address2: | SUITE 104 | ||||||||
City: | OREGON | ||||||||
State: | OH | ||||||||
PostalCode: | 436163291 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4196984642 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 04/07/2011 | ||||||||
LastUpdateDate: | 04/07/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | CUEVAS | ||||||||
AuthorizedOfficialFirstName: | MARIA LUISA | ||||||||
AuthorizedOfficialMiddleName: | S | ||||||||
AuthorizedOfficialTitleorPosition: | MD | ||||||||
AuthorizedOfficialTelephone: | 4196984642 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | MD | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4029101 | OH | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |   |
No ID Information.