Healthcare Provider Details

I. General information

NPI: 1689653917
Provider Name (Legal Business Name): RITA E CUEVAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 E QUINCY ST SUITE 417
SAN ANTONIO TX
78215-2039
US

IV. Provider business mailing address

215 E QUINCY ST SUITE 417
SAN ANTONIO TX
78215-2039
US

V. Phone/Fax

Practice location:
  • Phone: 210-223-5588
  • Fax: 210-223-3527
Mailing address:
  • Phone: 210-223-5588
  • Fax: 210-223-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberTXH2322
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: