Organization
MARIO S. CUERVO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO S CUERVO MD (OWNER/PRESIDENT)
(305) 661-9598
Entity
Organization
Contact information
Practice address
10200 SW 72 STREET, MIAMI, FL 33173-3033
(305) 630-1400
(800) 370-1116
Mailing address
10200 SW 72 STREET, MIAMI, FL 33143
(305) 630-1400
(800) 370-1116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0040730
FL
2084P0800X
Psychiatry Physician
Primary
ME0040730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670871
—
FL
05
—
067087100
—
FL
Enumeration date
03/18/2010
Last updated
08/29/2014
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