Provider Demographics
NPI:1710006580
Name:CUEVAS, MARISOL (OT)
Entity Type:Individual
Prefix:MRS
First Name:MARISOL
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:OT
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 2963
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-2963
Mailing Address - Country:US
Mailing Address - Phone:787-398-4921
Mailing Address - Fax:
Practice Address - Street 1:AVE ROBERTO CLEMENTE BLK 27-16
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-276-8123
Practice Address - Fax:787-276-8123
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist