Individual
DR. ISMAEL GUSTAVO CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SAN RAFAEL ESTATES #25 CALLE 2, TRUJILLO ALTO, PR 00976
(787) 760-8791
Mailing address
PO BOX 716, TRUJILLO ALTO, PR 00977-0716
(787) 760-8791
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16685
PR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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