Individual
DR. JORGE LUIS CUELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-4828
(305) 666-4633
(305) 487-3323
Mailing address
6200 SUNSET DR, SUITE 401, SOUTH MIAMI, FL 33143-4828
(305) 666-4633
(305) 487-3323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0070399
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME0070399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251437100
—
FL
Enumeration date
06/06/2006
Last updated
10/05/2011
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