Healthcare Provider Details

I. General information

NPI: 1154123701
Provider Name (Legal Business Name): SARAI CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9715 NW 5TH TER
MIAMI FL
33172-4012
US

IV. Provider business mailing address

9715 NW 5TH TER
MIAMI FL
33172-4012
US

V. Phone/Fax

Practice location:
  • Phone: 786-320-3505
  • Fax:
Mailing address:
  • Phone: 786-320-3505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9641738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: