Healthcare Provider Details

I. General information

NPI: 1659121820
Provider Name (Legal Business Name): LILIANA CUEVAS PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 03/22/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 123 BDA NUEVA E 59
UTUADO PR
00641
US

IV. Provider business mailing address

PO BOX 2352
UTUADO PR
00641-2352
US

V. Phone/Fax

Practice location:
  • Phone: 787-624-9566
  • Fax:
Mailing address:
  • Phone: 787-624-9566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: