Provider Demographics
NPI:1578772950
Name:CUEVAS CANDELARIO, BARBARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:CUEVAS CANDELARIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 386
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0386
Mailing Address - Country:US
Mailing Address - Phone:787-449-4995
Mailing Address - Fax:787-915-2436
Practice Address - Street 1:ALTURAS DE CERRO GORRDO 3-4 F-5
Practice Address - Street 2:
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-449-4995
Practice Address - Fax:787-915-2436
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRD-27661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice