Healthcare Provider Details

I. General information

NPI: 1932055845
Provider Name (Legal Business Name): BC FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9761 SW 56TH TER
MIAMI FL
33173-1485
US

IV. Provider business mailing address

9761 SW 56TH TER
MIAMI FL
33173-1485
US

V. Phone/Fax

Practice location:
  • Phone: 786-972-2461
  • Fax:
Mailing address:
  • Phone: 786-972-2461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CLAUDIA CUEVAS
Title or Position: OWNER
Credential: MD
Phone: 786-972-2461