Provider Demographics
NPI:1245218890
Name:CUEVAS, BERNARDA ANTONIA (MD)
Entity Type:Individual
Prefix:DR
First Name:BERNARDA
Middle Name:ANTONIA
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BERNARDA
Other - Middle Name:ANTONIA
Other - Last Name:CUEVAS-GARCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:CARRETERA #116 KM 2.0
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667
Mailing Address - Country:US
Mailing Address - Phone:646-345-2035
Mailing Address - Fax:
Practice Address - Street 1:863 CALLE MARIA GIUSTI
Practice Address - Street 2:UBR. EL COMANDANTE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2538
Practice Address - Country:US
Practice Address - Phone:646-345-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14043208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice