Provider Demographics
NPI:1497054779
Name:FRANCISCO J CUELLO MD PA
Entity Type:Organization
Organization Name:FRANCISCO J CUELLO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-541-8600
Mailing Address - Street 1:PO BOX 441494
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-1494
Mailing Address - Country:US
Mailing Address - Phone:305-541-8600
Mailing Address - Fax:305-649-2171
Practice Address - Street 1:701 NW 57TH AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3275
Practice Address - Country:US
Practice Address - Phone:305-541-8600
Practice Address - Fax:305-649-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL056927500Medicaid
FL92433Medicare PIN
FL056927500Medicaid