Provider Demographics
NPI:1265750301
Name:CUEVAS, ARTEMIO MALATE JR (MD)
Entity type:Individual
Prefix:MR
First Name:ARTEMIO
Middle Name:MALATE
Last Name:CUEVAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 DENBY RD.
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1627
Mailing Address - Country:US
Mailing Address - Phone:410-821-6829
Mailing Address - Fax:
Practice Address - Street 1:1300 DENBY RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1627
Practice Address - Country:US
Practice Address - Phone:410-821-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0003993208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice