Provider Demographics
NPI:1255383477
Name:CUERVO, LUCINDA I (MD)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:I
Last Name:CUERVO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2826
Mailing Address - Country:US
Mailing Address - Phone:305-532-9945
Mailing Address - Fax:305-532-9938
Practice Address - Street 1:2921 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2826
Practice Address - Country:US
Practice Address - Phone:305-532-9945
Practice Address - Fax:305-532-9938
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME44658208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL96609OtherBCBS
FL069680300Medicaid
FLD77094Medicare UPIN
FL96609Medicare PIN