Provider Demographics
NPI:1154192771
Name:CUEVAS, GREGORIA (MD)
Entity type:Individual
Prefix:
First Name:GREGORIA
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GREGORIA
Other - Middle Name:
Other - Last Name:CUEVAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHP
Mailing Address - Street 1:4626 PENHURST ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3828
Mailing Address - Country:US
Mailing Address - Phone:215-744-4343
Mailing Address - Fax:215-744-8731
Practice Address - Street 1:4626 PENHURST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3828
Practice Address - Country:US
Practice Address - Phone:215-744-4343
Practice Address - Fax:215-744-8731
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional