Provider Demographics
NPI:1710183843
Name:HIRAM A CUEVAS MD INC
Entity Type:Organization
Organization Name:HIRAM A CUEVAS MD INC
Other - Org Name:MEDITECH MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-885-6538
Mailing Address - Street 1:7926 W HILLSBOROUGH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4600
Mailing Address - Country:US
Mailing Address - Phone:813-888-5342
Mailing Address - Fax:813-885-9684
Practice Address - Street 1:7926 W HILLSBOROUGH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4600
Practice Address - Country:US
Practice Address - Phone:813-888-5342
Practice Address - Fax:813-885-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45721261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAC765Medicare PIN