Provider Demographics
NPI:1437469582
Name:CUTLER BAY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:CUTLER BAY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-254-2090
Mailing Address - Street 1:18901 SW 106 AVE
Mailing Address - Street 2:SUITE #203 A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7661
Mailing Address - Country:US
Mailing Address - Phone:305-254-2090
Mailing Address - Fax:305-254-2099
Practice Address - Street 1:18901 SW 106 AVE
Practice Address - Street 2:SUITE #203 A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-7661
Practice Address - Country:US
Practice Address - Phone:305-254-2090
Practice Address - Fax:305-254-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 25571261QP2000X
FLMM25571261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM 25571OtherFL DOH