Angel L Cuesta I, DPM, FACFAS, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2016 Issued in FL

Practice address

6831 NW 11TH PL Ste 3
Gainesville, FL 32605-4259

Phone

(352) 331-3077

Fax

(352) 331-3265

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1306862743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 NW 11TH PL",
            "address_2": "SUITE #3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054259",
            "telephone_number": "352-331-3077",
            "fax_number": "352-331-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 NW 11TH PL STE 3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054259",
            "telephone_number": "352-331-3077",
            "fax_number": "352-331-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_suffix": "I",
        "credential": "DPM, FACFAS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054892800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PARTNERSHIP",
            "identifier": "1074HILH",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "31257",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Cucchiara, M.A.
• Stefanie Elizabeth Cucciarre, MSW
• Tankea Lashay Cue, APRN
• Diego Cuellar
• Lyda Cuervo Pardo, M.D.
• Robert John Cueto, MD
• Jennifer Cuevas, DPT
• Markus Cuevas
• Rafael Cui
• Sebastian Cuitiva, PA-C

• Podiatrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.