Provider Demographics
NPI:1942397070
Name:CUEVAS, RAMON (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-226-7230
Mailing Address - Fax:866-401-9731
Practice Address - Street 1:2055 HIGH STREET
Practice Address - Street 2:STE 210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5504
Practice Address - Country:US
Practice Address - Phone:303-226-7230
Practice Address - Fax:866-401-9731
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36528208000000X
CO51717208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1942397070Medicaid
CO83781811Medicaid
NE100257576-00Medicaid
KS201071890AMedicaid
CO83781811Medicaid