Provider Demographics
NPI:1225491087
Name:CUA, JANA ERIKA (MD, MS)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:ERIKA
Last Name:CUA
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6619 S DIXIE HWY # 150
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7171 BAY DR APT 7
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-5406
Practice Address - Country:US
Practice Address - Phone:305-482-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-033032084P0800X
HIMD-225442084P0800X
NY3093352084P0800X
NJ25MA113136002084P0800X
GA805702084P0800X
CAA1711892084P0800X
ALMD.432822084P0800X
FLME1420692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106644600Medicaid