Provider Demographics
NPI:1154483659
Name:CUEBAS, REBECA A (MD)
Entity Type:Individual
Prefix:
First Name:REBECA
Middle Name:A
Last Name:CUEBAS
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 1:1882 CALLE SAN JOAQUIN
Mailing Address - Street 2:SAN JUAN GARDENS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5337
Mailing Address - Country:US
Mailing Address - Phone:787-318-8373
Mailing Address - Fax:
Practice Address - Street 1:1882 CALLE SAN JOAQUIN
Practice Address - Street 2:SAN JUAN GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5337
Practice Address - Country:US
Practice Address - Phone:787-318-8373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14957208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics