Provider Demographics
NPI:1932891892
Name:FORCADES CUESTA, JULIO CESAR (SA-C)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:CESAR
Last Name:FORCADES CUESTA
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 AVOCADO AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1804
Mailing Address - Country:US
Mailing Address - Phone:561-788-3344
Mailing Address - Fax:
Practice Address - Street 1:123 AVOCADO AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1804
Practice Address - Country:US
Practice Address - Phone:561-788-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23-394246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant