Individual
JUAN M CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 NW 12TH AVE, STE C5, MIAMI, FL 33128-2205
(305) 548-4063
(305) 545-1515
Mailing address
219 NW 12TH AVE, SUITE C5, MIAMI, FL 33128-2205
(305) 548-4063
(305) 545-1515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME87069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0186346
GHI PPO
FL
01
—
2088546
CIGNA
FL
01
—
300893
AVMED
FL
01
—
56924
NHP
FL
01
—
5694080
FIRST HEALTH
FL
01
—
7042817
AETNA
FL
01
—
9456759
PHCS NETWORK
FL
01
—
981883
COVENTRY HEALTH
FL
01
—
P00372284
RAILROAD MEDICARE
FL
Enumeration date
11/21/2005
Last updated
12/14/2022
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