MEDICARE: MS. ROSA J CUENCA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0206X	Pediatric Gastroenterology Physician	ME68683	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSA J CUENCA MD

Provider Business Mailing Address
First Line	:	3003 W DR MLK JR BLVD
Second Line	:	MAB 3RD FLOOR
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-870-4438
Fax Number	:	813-870-4153

Provider Business Practice Location Address
First Line	:	3003 W DR MLK BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-870-4438
Fax Number	:	813-870-4153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	05/13/2025

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