# CARLOS IVAN CUEVAS SERRANO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356667638
- **Authorized official:** MR. CARLOS I CUEVAS SR. (DIRECTOR)
- **Authorized official phone:** (939) 344-0540

## Contact information

- **Practice address:** CARR 111 R603 K1 H9, BO. RONCADOR, UTUADO, PR 00641-2375
- **Practice address phone:** (939) 334-0540
- **Practice address fax:** (787) 369-7990
- **Mailing address:** PO BOX 2375, UTUADO, PR 00641
- **Mailing address phone:** (939) 334-0540
- **Mailing address fax:** (787) 369-7990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 4396122 | PR | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 04/30/2012