Provider Demographics
NPI:1033834585
Name:VANESSA GABROVSKY CUELLAR MD INC
Entity Type:Organization
Organization Name:VANESSA GABROVSKY CUELLAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:GABROVSKY
Authorized Official - Last Name:CUELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-744-7591
Mailing Address - Street 1:2425 SAN PIETRO CIR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2970
Mailing Address - Country:US
Mailing Address - Phone:917-744-7591
Mailing Address - Fax:
Practice Address - Street 1:658 W INDIANTOWN RD STE 212
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7535
Practice Address - Country:US
Practice Address - Phone:310-256-4363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty