Provider Demographics
NPI:1285406496
Name:CUEVAS-MONTERO, ELENA (LICENCIADA)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:CUEVAS-MONTERO
Suffix:
Gender:F
Credentials:LICENCIADA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 6721 CANALIZO
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-9645
Mailing Address - Country:US
Mailing Address - Phone:787-202-0616
Mailing Address - Fax:
Practice Address - Street 1:CARR 140 INTERIOR KM 11.9
Practice Address - Street 2:
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-202-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical