Provider Demographics
NPI:1093947079
Name:HERNANDEZ CUEVAS, CHRISTIAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:E
Last Name:HERNANDEZ CUEVAS
Suffix:
Gender:M
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:URBANIZACION ESTANCIAS DEL RIO
Mailing Address - Street 2:27 CALLE TALLABOA
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703
Mailing Address - Country:US
Mailing Address - Phone:787-690-8890
Mailing Address - Fax:
Practice Address - Street 1:AV INDUSTRIAL EL JIBARO
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-0000
Practice Address - Country:US
Practice Address - Phone:787-639-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR017614208D00000X
PR17614208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice