Provider Demographics
NPI:1467438804
Name:CUEVAS, EDWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:
Last Name:CUEVAS
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 1:6 CALLE RIUS RIVERA
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-2396
Mailing Address - Country:US
Mailing Address - Phone:787-829-2013
Mailing Address - Fax:787-829-2013
Practice Address - Street 1:6 CALLE RIUS RIVERA
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2396
Practice Address - Country:US
Practice Address - Phone:787-829-2013
Practice Address - Fax:787-829-2013
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10086208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
82545OtherSSS
82545OtherSSS
PR80182Medicare ID - Type Unspecified