Provider Demographics
NPI:1548073398
Name:CUELLO PEREZ, LIGNELL DANIELA
Entity type:Individual
Prefix:
First Name:LIGNELL
Middle Name:DANIELA
Last Name:CUELLO PEREZ
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 1:1627 E VINE ST STE 205D
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-3719
Mailing Address - Country:US
Mailing Address - Phone:407-577-8150
Mailing Address - Fax:
Practice Address - Street 1:6335 CONTESSA DR APT 104
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8004
Practice Address - Country:US
Practice Address - Phone:407-683-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator