Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN 18113 | FL |
Y | 213EG0000X | General Practice | DN 18113 | FL |
NPI | 1003008418 |
---|---|
Provider Name | Sandra P. Cuartas |
First Address | Weston, FL 33326-1193 |
Second Address | Hialeah, FL 33012-6450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 10/08/2007 |