Individual provider Active NPI

Pedro Jose Cuesta, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1407576994
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019493 Issued in FL
Practice address
1656 SW 14TH Ter
Miami, FL 33145-1547
Phone
(786) 395-1869
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11019493 FL Primary

Addresses

Primary practice location

1656 SW 14TH Ter
Miami, FL 33145-1547

Mailing address

1656 SW 14TH Ter
Miami, FL 33145-1547
Phone (786) 395-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11019493FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Polyclinic Health Center Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

299 Alhambra Cir
Ste 210
Coral Gables, FL 33134
Phone (305) 766-4260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1407576994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 SW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451547",
            "telephone_number": "786-395-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 SW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451547",
            "telephone_number": "786-395-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "PEDRO",
        "middle_name": "JOSE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.