MEDICARE: CRISTINA E CUEVAS KORENSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME49245	FL
2	208M00000X	Hospitalist Physician	ME49245	FL
3	207R00000X	Internal Medicine Physician	ME49245	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00143115	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659301901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA E CUEVAS KORENSKY MD

Provider Business Mailing Address
First Line	:	13325 THOROUGHBRED DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6215
Country	:	US
Telephone Number	:	352-588-2747
Fax Number	:

Provider Business Practice Location Address
First Line	:	13325 THOROUGHBRED DR
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-6215
Country	:	US
Telephone Number	:	352-588-2747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	03/19/2020

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Directions to “ CRISTINA E CUEVAS KORENSKY MD” Practice Location

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