Provider Demographics
NPI:1023812674
Name:CUITIVA, DAVID ESTEBAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ESTEBAN
Last Name:CUITIVA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18120 SW 148TH RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1856
Mailing Address - Country:US
Mailing Address - Phone:786-925-4416
Mailing Address - Fax:
Practice Address - Street 1:20 W 5TH ST
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-2143
Practice Address - Country:US
Practice Address - Phone:786-925-4416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL42522225100000X
IN05015830A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist