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NPI Code Detail

MEDICARE: JOSE M CUESTA

MEDICARE: JOSE M CUESTA
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1427643683
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE M CUESTA
Provider Business Mailing Address
First Line : 5791 SW 74TH TER APT 37
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5350
Country : US
Telephone Number : 786-536-9714
Fax Number : 786-536-9833
Provider Business Practice Location Address
First Line : 4649 PONCE DE LEON BLVD STE 404
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-2121
Country : US
Telephone Number : 104-353-7160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2021
Last Update Date : 03/09/2021

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Directions to “ JOSE M CUESTA ” Practice Location

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