Provider Demographics
NPI:1043750169
Name:CUEBAS, GABRIELA M (DMD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:M
Last Name:CUEBAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SW 8TH ST APT W701
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3399
Mailing Address - Country:US
Mailing Address - Phone:787-299-1761
Mailing Address - Fax:
Practice Address - Street 1:510 E 23RD ST # SLT
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-5308
Practice Address - Country:US
Practice Address - Phone:850-792-1023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN238641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program