Provider Demographics
NPI:1932513413
Name:FERMIN CUENCA CORPORATION
Entity Type:Organization
Organization Name:FERMIN CUENCA CORPORATION
Other - Org Name:CARE GIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:CUENCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-272-6971
Mailing Address - Street 1:5447 STILLBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5033
Mailing Address - Country:US
Mailing Address - Phone:281-727-6971
Mailing Address - Fax:713-728-9673
Practice Address - Street 1:5447 STILLBROOKE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5033
Practice Address - Country:US
Practice Address - Phone:281-727-6971
Practice Address - Fax:713-728-9673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health