Provider Demographics
NPI:1023021664
Name:PEREZ-CUEVAS, HORTENSIA (MD)
Entity Type:Individual
Prefix:DR
First Name:HORTENSIA
Middle Name:
Last Name:PEREZ-CUEVAS
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 1:287 AVE WINSTON CHURCHILL
Mailing Address - Street 2:EL SENORIAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6604
Mailing Address - Country:US
Mailing Address - Phone:787-760-9638
Mailing Address - Fax:787-760-9689
Practice Address - Street 1:287 AVE WINSTON CHURCHILL
Practice Address - Street 2:EL SENORIAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6604
Practice Address - Country:US
Practice Address - Phone:787-760-9638
Practice Address - Fax:787-760-9689
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11979208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR500465EOtherMMM
PR1674OtherFIRST MEDICAL
PR88972OtherTRIPLE S
PR060563OtherCRUZ AZUL
PR88972OtherTRIPLE S
PR1674OtherFIRST MEDICAL