DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS MARIELA CRISTINA CUEBAS FANTAUZZI MD

MEDICARE: MISS MARIELA CRISTINA CUEBAS FANTAUZZI 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
1390200000XStudent in an Organized Health Care Education/Training ProgramR82401AZ
2208D00000XGeneral Practice Physician23562PR
3390200000XStudent in an Organized Health Care Education/Training Program6065629PR
4208D00000XGeneral Practice PhysicianACN1643FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Z8H8NOTHERFLBCBS

General Provider Information

NPI Number : 1629571146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARIELA CRISTINA CUEBAS FANTAUZZI MD
Provider Business Mailing Address
First Line : 13995 W STATLER BLVD STE 200
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-5503
Country : US
Telephone Number : 602-478-3100
Fax Number :
Provider Business Practice Location Address
First Line : 13995 W STATLER BLVD STE 200
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-5503
Country : US
Telephone Number : 602-478-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2018
Last Update Date : 06/03/2026

Similar Medicare Providers

1790065282 — DR. STEPHANIE NICOLAI PSYD
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 623-478-3100
Practice Fax:
1174979330 — GURVINDER SINGH DHALIWAL M.D.
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 623-478-3100
Practice Fax: 623-478-3300
1578094603 — MARTA KAROLINA SZYMASZEK-CUSICK M.D.
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 623-478-3100
Practice Fax: 623-478-3300
1659854420 — MICHAEL MARIANO NABONG MD
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 602-478-3100
Practice Fax:
1245878172 — GARIN B BERGESON DO
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 623-876-3870
Practice Fax: 623-285-2707
1780358440 — NATHAN TIRRELL PA-C
Practice Location Address:
13995 W STATLER BLVD STE 200
SURPRISE, AZ
85374-5503
Practice Phone: 623-478-3100
Practice Fax:

Directions to “ MISS MARIELA CRISTINA CUEBAS FANTAUZZI MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.