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ANGEL L CUESTA DPM PA NPI 1912192113


NPI Information

NPI: 1912192113
Provider Name: ANGEL L CUESTA DPM PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
6831 NW 11TH PL
SUITE 3
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-3077
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ANGEL L CUESTA DPM PA is a podiatrist in Gainesville, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ANGEL L CUESTA DPM PA NPI is 1912192113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6831 NW 11TH PL
SUITE 3
GAINESVILLE, FL
ZIP 32605-259
Phone: (352) 331-3077
Fax: (352) 331-3077

The provider's authorized official is Angel Leandro Cuesta .
The authorized official title is President and has the following contact phone number (352) 331-3077.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 5/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPO2016FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1163970470871OTHERFLORIDAHUMANA
231257OTHERFLORIDACOVENTRY HEALTH
365174MEDICARE PINFLORIDA
4816833126OTHERFLORIDATRICARE
5U16884MEDICARE UPINFLORIDA
6054892800MEDICAIDFLORIDA
79177366OTHERFLORIDACIGNA
82770028OTHERFLORIDAUNITED HEALTHCARE OF FL
965174OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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