Provider Demographics
NPI:1669117339
Name:GONZALEZ CUEVAS, JOSE ARNALDO (PA MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ARNALDO
Last Name:GONZALEZ CUEVAS
Suffix:
Gender:M
Credentials:PA MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY GARDENS
Mailing Address - Street 2:265 CALLE INTERAMERICANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-602-8468
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY GARDENS
Practice Address - Street 2:265 CALLE INTERAMERICANA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-602-8468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3103PA171M00000X
PR13012083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1301PAOtherJDM