Organization
MARIA CUESTA MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CUESTA MD (AUTHORIZED OFFICAL)
(305) 915-5394
Entity
Organization
Contact information
Practice address
2635 SW 25TH AVE, MIAMI, FL 33133-2245
(305) 951-5394
Mailing address
2635 SW 25TH AVE, MIAMI, FL 33133-2245
(305) 951-5394
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843773315
LICENSE
FL
Enumeration date
05/19/2021
Last updated
05/19/2021
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