Provider Demographics
NPI:1750989679
Name:LOPEZ CUEVAS, CARIDAD (CBHCMS)
Entity type:Individual
Prefix:
First Name:CARIDAD
Middle Name:
Last Name:LOPEZ CUEVAS
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11981 SW 144TH CT STE 108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8652
Mailing Address - Country:US
Mailing Address - Phone:786-640-0613
Mailing Address - Fax:786-640-0614
Practice Address - Street 1:11981 SW 144TH CT STE 108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8652
Practice Address - Country:US
Practice Address - Phone:786-640-0613
Practice Address - Fax:786-640-0614
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker