Healthcare Provider Details

I. General information

NPI: 1336230598
Provider Name (Legal Business Name): HIRAM A CUEVAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7926 W HILLSBOROUGH AVE SUITE A
TAMPA FL
33615
US

IV. Provider business mailing address

7926 W HILLSBOROUGH AVE SUITE A
TAMPA FL
33615
US

V. Phone/Fax

Practice location:
  • Phone: 813-885-6538
  • Fax: 813-885-9684
Mailing address:
  • Phone: 813-885-6538
  • Fax: 813-885-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 45721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: