Provider Demographics
NPI:1356356737
Name:CUEVAS, MARIA LUISA SALVADOR (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA LUISA
Middle Name:SALVADOR
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1050 ISAAC STREETS DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3291
Mailing Address - Country:US
Mailing Address - Phone:419-698-9034
Mailing Address - Fax:419-698-8597
Practice Address - Street 1:1050 ISAAC STREETS DR
Practice Address - Street 2:SUITE 104
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3291
Practice Address - Country:US
Practice Address - Phone:419-698-9034
Practice Address - Fax:419-698-8597
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHOH35-04-0291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0323171Medicaid
OHCUO438672Medicare ID - Type Unspecified
OH0323171Medicaid