Provider Demographics
NPI:1558991489
Name:CUEVAS SANTANA, BELKIS ENEIDA
Entity Type:Individual
Prefix:
First Name:BELKIS
Middle Name:ENEIDA
Last Name:CUEVAS SANTANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1452 CALLE HUMACAO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2632
Mailing Address - Country:US
Mailing Address - Phone:939-491-3225
Mailing Address - Fax:
Practice Address - Street 1:1452 CALLE HUMACAO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2632
Practice Address - Country:US
Practice Address - Phone:939-491-3225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR87820-G163WG0000X
PR87820163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR87820-GOtherNURSE LICENSE