DR. CARLOS GUSTAVO CUELLAR (NPI# 1245482702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245482702 |
| Entity Type | Individual |
| Full Name | DR. CARLOS GUSTAVO CUELLAR |
| Credential | DENTIST |
| Practice Address |
3307 Francisco Mina Nuevo Laredo TAMAULIPAS 88000 MX |
| Mailing Address |
4530 Rodeo Ln Laredo TX 78046-7522 |
| Practice Telephone | 8671870663 |
| Mailing Telephone | 9567537752 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5163772 | ZZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093831117 | Carlos A Cuellar | Physician Assistant | Student Health Services Csu Chico, Chico, CA 95929-0001 | 2007-03-21 |
| Street Address |
3307 FRANCISCO MINA |
| City | NUEVO LAREDO |
| State | TAMAULIPAS |
| Zip Code | 88000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776051 | Gladys Edith Carrillo | Dentist | Washington 2107, Nuevo Laredo, MEXICO 88000 | 2020-06-30 |
| 1700159266 | Jorge A. Flores | Dentist | 2840 Morelos, Nuevo Laredo, TAMAULIPAS 88000 | 2012-02-14 |
| 1285872564 | David Gomez | Dentist | Heroes De Nacataz 2401, Nuevo Laredo, TAMAULIPAS 88000 | 2009-01-26 |
| 1326290701 | Fd Service | Clinic/Center | Heroe De Nacataz # 2111 Altos, Nuevo Laredo, TAMPS 88000 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676430 | Dma Professional Services, LLC | Dentist | Degollado 2229, Nuevo Laredo, TAMAULIPAS 88240 | 2019-12-18 |
| 1841847506 | Happy Dental Solutions | Dentist | 1820 Jesus Carranza, Nuevo Laredo, TAMAULIPAS 88040 | 2019-08-19 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1346783776 | N/a | Exclusive Provider Organization | Av. Tecnologico 183, Nuevo Laredo, TAMAULIPAS 88275 | 2016-12-03 |
| 1710232665 | Border Dental Billing LLC | Dentist | Santos Degollado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2012-07-17 |
| 1659693570 | Graciela V Nunez | Dentist | Santos Degollado 2229, Col. Guerrero, Nuevo Laredo, TAMAULIPAS 88240 | 2010-02-19 |
| 1932352036 | Linda Gabriela Trevino | Dentist | Santos Degallado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2008-11-03 |
| 1417480369 | Border Dental Center De Nuevo Laredo Sc | Clinic/Center | Santos Degollado 2229, Colonia Guerrero, Nuevo Laredo, TAMAULIPAS 88240 | 2017-04-07 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776051 | Gladys Edith Carrillo | Dentist | Washington 2107, Nuevo Laredo, MEXICO 88000 | 2020-06-30 |
| 1841847506 | Happy Dental Solutions | Dentist | 1820 Jesus Carranza, Nuevo Laredo, TAMAULIPAS 88040 | 2019-08-19 |
| 1285872564 | David Gomez | Dentist | Heroes De Nacataz 2401, Nuevo Laredo, TAMAULIPAS 88000 | 2009-01-26 |
| 1932352036 | Linda Gabriela Trevino | Dentist | Santos Degallado 3343, Nuevo Laredo, TAMAULIPAS 88240 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892090 | Lucas J Cantu | Dentist | Francisco I Madero 710, Reynosa, TAMAULIPAS 88560 | 2020-08-18 |
| 1619332830 | Fernando Javier Samano | Dentist | Lazaro Cardenas Loc. 27 Plaza Las Americas Centro, Reynosa, TAMAULIPAS 88500 | 2015-12-15 |
| 1588085047 | My Rgv Dentist | Dentist | Coahuila 223, Suite #18, Nuevo Progreso, TAMAULIPAS 88810 | 2013-12-30 |
| 1083055735 | Fernando De La Rosa | Dentist | Avenida Benito Juarez #115, 2, Nuevo Progreso, TAMAULIPAS 88810 | 2013-07-10 |
| 1710259650 | Aguilera Laser Dental | Dentist | Ave. Miguel Aleman 1125, Zona Centro, Reynosa, TAMAULIPAS 88510 | 2012-02-08 |
| 1881925139 | Rolando Samano | Dentist | Calle Primera #267, Entre Nardos Y Rosas. Col. Jardin, H. Maramoros, TAMAULIPAS 87330 | 2010-01-27 |
| 1942534268 | Veronica Pell | Dentist | Coahuila #25 Local 1a, Nuevo Progreso, TAMAULIPAS 88810 | 2009-09-21 |
| 1184857146 | Gustavo C Delfin | Dentist | Ave Virreyes L-10 Oriente, Zona Centro, Reynosa, TAMAULIPAS 88500 | 2009-08-25 |
| 1578710083 | Emma E Castillo | Dentist | Aldama 830, Zona Centro, Reynosa, TAMAULIPAS 88500 | 2008-08-26 |
| City | NUEVO LAREDO |
| Zip Code | 88000 |
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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.