Individual
IRENE MARIA CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4770 BISCAYNE BLVD STE 1140, MIAMI, FL 33137-3247
(305) 573-7200
Mailing address
13874 SW 75TH ST, MIAMI, FL 33183-3010
(305) 573-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0003643
FL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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