Organization Active NPI

Herminio Cuervo MD PA

  • Neurology Physician
  • Lakeland, FL
National Provider Identifier
1578616371
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0031030 Issued in FL
Legal business name
HERMINIO CUERVO MD PA
Practice address
1601 Williamsburg SQ
Lakeland, FL 33803-4279
Phone
(863) 647-1684
Fax
(863) 647-2824
NPI assigned
Jan 18, 2007
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Dr. Herminio Cuervo, M.D.
Title
President
Phone
(863) 647-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME0031030 FL Primary

Addresses

Primary practice location

1601 Williamsburg SQ
Lakeland, FL 33803-4279

Mailing address

1601 Williamsburg SQ
Lakeland, FL 33803-4279
Phone (863) 647-1684

National Provider Directory

National Provider Directory

Locations

1601 Williamsburg Sq
Lakeland, FL 33803
Phone (863) 647-1684

3842 S Florida Ave
Lakeland, FL 33813
Phone (863) 647-1684

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1578616371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WILLIAMSBURG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034279",
            "telephone_number": "863-647-1684",
            "fax_number": "863-647-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLIAMSBURG SQ",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034279",
            "telephone_number": "863-647-1684",
            "fax_number": "863-647-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMINIO CUERVO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "CUERVO",
        "authorized_official_first_name": "HERMINIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-647-1684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0031030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.