Provider Demographics
NPI:1659301901
Name:CUEVAS KORENSKY, CRISTINA E (MD)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:E
Last Name:CUEVAS KORENSKY
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 1:13325 THOROUGHBRED DR
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-6215
Mailing Address - Country:US
Mailing Address - Phone:352-588-2747
Mailing Address - Fax:
Practice Address - Street 1:13325 THOROUGHBRED DR
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-6215
Practice Address - Country:US
Practice Address - Phone:352-588-2747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49245207RC0200X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL259712800Medicaid
FLP00143115OtherRR MEDICARE
FLP00887986Medicare PIN
FL26203RMedicare PIN
FLF22409Medicare UPIN