Provider Demographics
NPI:1699063982
Name:CUAN, DAMARYS (MD)
Entity type:Individual
Prefix:
First Name:DAMARYS
Middle Name:
Last Name:CUAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 W PALM DR
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-3223
Mailing Address - Country:US
Mailing Address - Phone:786-377-0120
Mailing Address - Fax:786-377-0121
Practice Address - Street 1:751 W PALM DR
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-3223
Practice Address - Country:US
Practice Address - Phone:786-377-0120
Practice Address - Fax:786-377-0121
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121348208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics