Provider Demographics
NPI:1942413547
Name:CUEVAS GUZMAN, FELIX ANTONIO (PT)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:ANTONIO
Last Name:CUEVAS GUZMAN
Suffix:
Gender:M
Credentials:PT
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 366
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0366
Mailing Address - Country:US
Mailing Address - Phone:787-379-2778
Mailing Address - Fax:
Practice Address - Street 1:VIVALDI PACHECO STREET
Practice Address - Street 2:33
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-379-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1188225100000X
PR001188225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist