Provider Demographics
NPI:1700076981
Name:CUEVAS, JUANA LUCIA (MD)
Entity Type:Individual
Prefix:
First Name:JUANA
Middle Name:LUCIA
Last Name:CUEVAS
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 1:245 5TH AVE
Mailing Address - Street 2:3RD FLOOR C/O LINA NOMAD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-302-4399
Mailing Address - Fax:212-302-2582
Practice Address - Street 1:245 5TH AVE
Practice Address - Street 2:3RD FLOOR C/O LINA NOMAD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-302-4399
Practice Address - Fax:212-302-2582
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243106207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400096924Medicare PIN