Provider Demographics
NPI:1134124654
Name:CUENCA, ROSA J (MD)
Entity Type:Individual
Prefix:MS
First Name:ROSA
Middle Name:J
Last Name:CUENCA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3003 W DR MLK JR BLVD
Mailing Address - Street 2:MAB 3RD FLOOR
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-870-4438
Mailing Address - Fax:813-870-4153
Practice Address - Street 1:3003 W DR MLK JR BLVD
Practice Address - Street 2:MAB 3RD FLOOR
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-870-4438
Practice Address - Fax:813-870-4153
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2023-06-27
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Provider Licenses
StateLicense IDTaxonomies
FLME686832080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378398700Medicaid
FL27531Medicare ID - Type Unspecified