Provider Demographics
NPI:1194709014
Name:CUEBAS, LUZ MILAGROS (MD)
Entity type:Individual
Prefix:MRS
First Name:LUZ
Middle Name:MILAGROS
Last Name:CUEBAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CRISALIDA 2 MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-720-5222
Mailing Address - Fax:787-272-0824
Practice Address - Street 1:CRISALIDA 2 MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-720-5222
Practice Address - Fax:787-272-0824
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7858207Y00000X
NY159116207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR066295OtherCUZ AZUL
P-0018210OtherMEDICARE - PALMETTO
387858OtherU.I.A HEALTH PLAN
PR29300OtherTRIPLE S
6570054OtherHUMAN HEALTH PLAN
PR066295OtherCUZ AZUL
PR0029300Medicare ID - Type Unspecified