Healthcare Provider Details

I. General information

NPI: 1356598858
Provider Name (Legal Business Name): MARIA CUESTA TORRES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 SW 40TH ST
MIAMI FL
33165-3745
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 305-222-2000
  • Fax: 305-553-5952
Mailing address:
  • Phone: 305-500-2000
  • Fax: 786-522-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME102209
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: