Organization
ANGEL L CUESTA DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL LEANDRO CUESTA DPM (PRESIDENT)
(352) 331-3077
Entity
Organization
Contact information
Practice address
6831 NW 11TH PL, SUITE 3, GAINESVILLE, FL 32605-4259
(352) 331-3077
(352) 331-3077
Mailing address
6831 NW 11TH PL, SUITE 3, GAINESVILLE, FL 32605-4259
(352) 331-3077
(352) 331-3077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054892800
—
FL
01
—
163970470871
HUMANA
FL
01
—
2770028
UNITED HEALTHCARE OF FL
FL
01
—
31257
COVENTRY HEALTH
FL
01
—
65174
BCBS
FL
01
—
816833126
TRICARE
FL
01
—
9177366
CIGNA
FL
Enumeration date
09/11/2007
Last updated
05/04/2010
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