Healthcare Provider Details

I. General information

NPI: 1124689203
Provider Name (Legal Business Name): SAHILY CUEVAS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

938 SW 82ND AVE
MIAMI FL
33144-4270
US

IV. Provider business mailing address

2055 SW 143RD CT
MIAMI FL
33175-8072
US

V. Phone/Fax

Practice location:
  • Phone: 305-582-1503
  • Fax:
Mailing address:
  • Phone: 305-582-1503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11002088
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: