Provider Demographics
NPI:1588932628
Name:CUBA, PEDRO A (OD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:A
Last Name:CUBA
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:4522 FREDERICKSBURG RD
Mailing Address - Street 2:STE B36
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6530
Mailing Address - Country:US
Mailing Address - Phone:210-923-2020
Mailing Address - Fax:210-764-4181
Practice Address - Street 1:4522 FREDERICKSBURG RD
Practice Address - Street 2:STE B36
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-6530
Practice Address - Country:US
Practice Address - Phone:210-923-2020
Practice Address - Fax:210-764-4181
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-04
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7796T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist