Individual
DR. GUSTAVO A CUELLO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 ERNESTO RAMOS ANTONINI, BO AMELIA, GUAYNABO, PR 00965
(787) 792-4308
Mailing address
U20 CALLE JASPER, URBANIZACION PARK GARDENS, SAN JUAN, PR 00926-2139
(787) 292-2018
(787) 292-2018
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10859
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10859
STATE LICENSE
PR
Enumeration date
10/05/2005
Last updated
03/15/2024
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