Provider Demographics
NPI:1265680631
Name:CUADRA, MARIA THERESA (PA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:THERESA
Last Name:CUADRA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:7300 HANOVER DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2202
Mailing Address - Country:US
Mailing Address - Phone:301-345-5600
Mailing Address - Fax:301-345-3105
Practice Address - Street 1:7300 HANOVER DR
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2202
Practice Address - Country:US
Practice Address - Phone:301-345-5600
Practice Address - Fax:301-345-3105
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2010-12-30
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Provider Licenses
StateLicense IDTaxonomies
MDC0003735363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical