Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | 20579 | FL |
NPI | 1083951156 |
---|---|
Provider Name | Mrs. Carmen Cuesta |
First Address | Miami, FL 33155-1622 |
Second Address | Miami, FL 33155-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2013 |
Last Update Date | 09/01/2013 |