Provider Demographics
NPI:1427392620
Name:CIUBA, CATHLEEN (RDMS)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:CIUBA
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13611 S DIXIE HWY
Mailing Address - Street 2:SUITE 545
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7258
Mailing Address - Country:US
Mailing Address - Phone:305-517-3117
Mailing Address - Fax:305-455-9661
Practice Address - Street 1:13550 SW 88TH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1654
Practice Address - Country:US
Practice Address - Phone:305-517-3117
Practice Address - Fax:305-455-9661
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA944202471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography