Active NPI
Mario S. Cuervo MD PA
- Psychiatry Physician
- Miami, FL
National Provider Identifier
1285958355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0040730
- Legal business name
- MARIO S. CUERVO MD PA
- Practice address
- 10200 SW 72 Street
Miami, FL 33173-3033 - Phone
- (305) 630-1400
- Fax
- (800) 370-1116
- NPI assigned
- Mar 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mario S Cuervo, MD
- Title
- Owner/President
- Phone
- (305) 661-9598
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0040730 | FL | |
| Psychiatry Physician | 2084P0800X | ME0040730 | FL | Primary |
Addresses
Primary practice location
10200 SW 72 Street
Miami, FL 33173-3033
Mailing address
10200 SW 72 Street
Miami, FL 33143
Phone (305) 630-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067087100 | Medicaid | FL | |
| 0670871 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
8600 NW 41st St
Ste 201
Doral, FL 33166
Phone (305) 541-5366
10200 SW 72nd St
Miami, FL 33173
Phone (305) 630-1400
5830 SW 73rd St
Fl First
South Miami, FL 33143
Phone (305) 661-9588
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Miami, FL
- NPI 1881182277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409270400000",
"number": "1285958355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 SW 72 STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "305-630-1400",
"fax_number": "800-370-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 SW 72 STREET",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733033",
"telephone_number": "305-630-1400",
"fax_number": "800-370-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO S. CUERVO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-18",
"last_updated": "2014-08-29",
"status": "A",
"authorized_official_last_name": "CUERVO",
"authorized_official_first_name": "MARIO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "305-661-9598",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0040730",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0040730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067087100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670871",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.