Provider Demographics
NPI:1326771148
Name:CUEVAS RODRIGUEZ, EMANUEL (PSY D)
Entity type:Individual
Prefix:DR
First Name:EMANUEL
Middle Name:
Last Name:CUEVAS RODRIGUEZ
Suffix:
Gender:
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 AVENIDA MUNOZ RIVERA
Mailing Address - Street 2:COND. DARLINGTON, APT 710
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2723
Mailing Address - Country:US
Mailing Address - Phone:787-204-9596
Mailing Address - Fax:
Practice Address - Street 1:1007 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925-2717
Practice Address - Country:US
Practice Address - Phone:787-204-9596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8137103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist