Healthcare Provider Details

I. General information

NPI: 1699063982
Provider Name (Legal Business Name): DAMARYS CUAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 E 49TH ST
HIALEAH FL
33013-1964
US

IV. Provider business mailing address

751 W PALM DR
FLORIDA CITY FL
33034-3223
US

V. Phone/Fax

Practice location:
  • Phone: 305-685-5688
  • Fax: 305-646-1068
Mailing address:
  • Phone: 786-377-0120
  • Fax: 786-377-0121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME121348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: