MEDICARE: DR. HELEN ELIZUNDIA CUZA DDS

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	1223G0001X	General Practice Dentistry	41529	TX

General Provider Information

NPI Number	:	1609762442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN ELIZUNDIA CUZA DDS

Provider Business Mailing Address
First Line	:	920 NW 34TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8035 MEMORIAL BLVD
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77640-7021
Country	:	US
Telephone Number	:	409-356-9011
Fax Number	:

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

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	07/02/2025

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