Provider Demographics
NPI:1174910467
Name:CUEVAS, CARLOS I
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:I
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 2375
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-2375
Mailing Address - Country:US
Mailing Address - Phone:787-624-9577
Mailing Address - Fax:
Practice Address - Street 1:E59 BDA NUEVA
Practice Address - Street 2:SUITE 1 CARR. #123
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-2375
Practice Address - Country:US
Practice Address - Phone:787-624-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport