Provider Demographics
NPI:1881660587
Name:CUEVAS, ANIBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIBAL
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:MD
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 271489
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33688
Mailing Address - Country:US
Mailing Address - Phone:813-681-0340
Mailing Address - Fax:813-961-2565
Practice Address - Street 1:13902 N DALE MABRY HWY
Practice Address - Street 2:#260
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618
Practice Address - Country:US
Practice Address - Phone:813-681-0340
Practice Address - Fax:813-961-2565
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84561208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266865300Medicaid
FL266865300Medicaid
FL13615AMedicare PIN