DR. GUSTAVO A CUELLO DIAZ (NPI# 1114914074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914074 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO A CUELLO DIAZ |
| Credential | M.D. |
| Practice Address |
4 Ernesto Ramos Antonini Bo Amelia Guaynabo PR 00965 |
| Mailing Address |
U20 Calle Jasper Urbanizacion Park Gardens San Juan PR 00926-2139 |
| Practice Telephone | 7877924308 |
| Mailing Telephone | 7872922018 |
| Mailing Fax Number | 7872922018 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 10859 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | STATE LICENSE | 10859 | 01 |
| Street Address |
4 ERNESTO RAMOS ANTONINI BO AMELIA |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620160 | Julio Antonio Calcano-perez | Physician Assistant | Carr #1 Km 23.7, Barrio Rio, Guaynabo, PR 00965 | 2020-05-11 |
| 1235763269 | Laboratorio Clinico Jomyr IIi, LLC | Clinical Medical Laboratory | 125 Ave. Ponce De Leon, Amelia Waterfront, Guaynabo, PR 00965 | 2020-02-28 |
| 1710434147 | Gamuzza Inc of Pr Corporation | Optometrist | 689 Norte Calle Terminal, Guaynabo, PR 00965 | 2016-09-01 |
| 1366783995 | Maria Conte | Legal Medicine | Condominio Portofino, Apartamento 3b, Guaynabo, PR 00965 | 2013-03-06 |
| 1851692073 | Wal-mart Puerto Rico Inc | Durable Medical Equipment & Medical Supplies | Avenida Fd Roosevelt, Guaynabo, PR 00965 | 2010-11-04 |
| 1669635041 | Wilbur Jose Santiago | Psychologist | Calle 6 A-12, Urb. Lomas Del Sol, Guaynabo, PR 00965 | 2008-07-07 |
| 1679770440 | Daniel Dionisio Diaz Jimenez | Dentist | Ave Ponce De Leon 123 Bo Amelia, Guaynabo, PR 00965 | 2007-06-27 |
| 1396948840 | Rafael F Cardona Duran | Neurological Surgery | Carr 199 Km 12 Ave Las Cumbres, Professional Hospital, Guaynabo, PR 00965 | 2007-06-11 |
| 1720205982 | Centro Quiropractico Guaynabo | Chiropractor | St. Rd 169 and Arbolote Ave. #1, Plaza Real Shopping Center Suite 307, Guaynabo, PR 00965 | 2007-04-19 |
| 1710008917 | Roberto Munoz Zayas Sr. | Obstetrics & Gynecology | Cond Bosques De La Villa Torrimar, Guaynabo, PR 00965 | 2007-04-03 |
| Find all providers in zip 00965 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922619857 | Sharlene Alick Ortiz | General Practice | 1500 Carr 19 Apt F301, Guaynabo, PR 00966-4154 | 2020-08-13 |
| 1619504578 | Horizon Health and Management Consulting Group Corp | General Practice | 38 Corporate Office Park Pr-20 Suite 201, Guaynabo, PR 00966 | 2020-03-23 |
| 1922632736 | Kenel Fernandez Medina | General Practice | 146 Ave Santa Ana Apt 805, Guaynabo, PR 00971-9310 | 2020-03-02 |
| 1851923429 | Victor Guillermo Rodriguez Rossello | General Practice | 16 Carr 833 Apt 4302, Guaynabo, PR 00969-7427 | 2020-02-11 |
| 1881226868 | Jose Antonio Matos Negron | General Practice | Carr 199 Km 1.2 Av Las Cumbres, Guaynabo, PR 00969 | 2020-02-07 |
| 1316587199 | Lindsay Marie Francis | General Practice | 652 Carr 28, Guaynabo, PR 00965-5700 | 2020-01-09 |
| 1629624648 | Indira Enid Barbosa Rios | General Practice | F18 Calle Reina Victoria, Urb Quintas Reales, Guaynabo, PR 00969-5291 | 2019-08-15 |
| 1871149062 | Med Boutique | General Practice | D16 Calle Buen Samaritano, Urb Gardenville, Guaynabo, PR 00966 | 2019-08-13 |
| 1467010579 | Ileana Marie Nieves Martinez | General Practice | 1976 Calle Salvia, Guaynabo, PR 00969-3943 | 2019-06-04 |
| 1114483948 | Christian Julian Aviles-robles | General Practice | E1 Calle Felipe Primero, Mansiones Reales, Guaynabo, PR 00969 | 2019-02-18 |
| Find all providers in GUAYNABO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.