Provider Demographics
NPI:1265851273
Name:CUEVA, CARLOS CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:CHRISTIAN
Last Name:CUEVA
Suffix:
Gender:M
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:UUMC 30 N 1900 E 4B319
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-0001
Mailing Address - Country:US
Mailing Address - Phone:801-585-9815
Mailing Address - Fax:
Practice Address - Street 1:UUMC 30 N 1900 E 4B319
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-3901
Practice Address - Country:US
Practice Address - Phone:801-585-9815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10424132-1205207RI0200X, 208M00000X
IDM-15076208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease