Provider Demographics
NPI:1427292291
Name:CUELLAR, JASON MONTGOMERY (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:MONTGOMERY
Last Name:CUELLAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:658 W INDIANTOWN RD STE 212
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7535
Mailing Address - Country:US
Mailing Address - Phone:305-459-3175
Mailing Address - Fax:
Practice Address - Street 1:658 W INDIANTOWN RD STE 212
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7535
Practice Address - Country:US
Practice Address - Phone:054-593-1753
Practice Address - Fax:855-265-7167
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135554207XS0117X
FLME151896207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine