Provider Demographics
NPI:1083322093
Name:CUELLO - ALMESTICA, BRENDA IRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:IRIS
Last Name:CUELLO - ALMESTICA
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 1:105 CALLE PEDRO ARZUAGA E
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-6134
Mailing Address - Country:US
Mailing Address - Phone:787-513-3016
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 2, KM 11-7
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-474-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR023628208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice