Organization Name: | MEDICAL OFFICE OF MARIA C CUBILLAS MD PA |
NPI Number: | 1457600785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA C CUBILLAS (OWNER) |
Mailing Address: | 27531 S Dixie Hwy Homestead |
State: | FL US |
Postal Code: | 330328225 |
Phone Number: | 3052460047 |
Fax Number: | 3052478540 |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0055442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |