Provider Demographics
NPI:1588819924
Name:CUEVAS, DANIEL S
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:S
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2229 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2319
Mailing Address - Country:US
Mailing Address - Phone:913-522-3803
Mailing Address - Fax:
Practice Address - Street 1:2229 BRECKENRIDGE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2319
Practice Address - Country:US
Practice Address - Phone:913-522-3803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker