MEDICARE: CUIDADO MEDICO Y GERIATRICO OF QUEENS PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1194049502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CUIDADO MEDICO Y GERIATRICO OF QUEENS PC

Provider Business Mailing Address
First Line	:	3744 75TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6444
Country	:	US
Telephone Number	:	718-672-6232
Fax Number	:	718-672-5817

Provider Business Practice Location Address
First Line	:	3744 75TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6444
Country	:	US
Telephone Number	:	718-672-6232
Fax Number	:	718-672-5817

Authorized Official
Title or Position	:	OWNER
Name	:	NADIA MARTINEZ
Credential	:	MD
Telephone Number	:	646-425-2179

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	09/17/2025

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