Provider Demographics
NPI:1588271803
Name:CUTANDA PUIGVERT, MARIA DE LAS MERCEDES (DDS)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DE LAS MERCEDES
Last Name:CUTANDA PUIGVERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8236 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3983
Mailing Address - Country:US
Mailing Address - Phone:786-724-7898
Mailing Address - Fax:
Practice Address - Street 1:11904 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-7005
Practice Address - Country:US
Practice Address - Phone:877-343-8291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL272471223G0001X, 122300000X
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program