Provider Demographics
NPI:1285487322
Name:CUBA GUERRA, ANA ELENA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ELENA
Last Name:CUBA GUERRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 SW 152ND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-4079
Mailing Address - Country:US
Mailing Address - Phone:786-619-5453
Mailing Address - Fax:
Practice Address - Street 1:8205 SW 152ND AVE APT 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-4079
Practice Address - Country:US
Practice Address - Phone:786-619-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide