Organization Active NPI

Antonio Cubano, M.D., P.a.

  • Child & Adolescent Psychiatry Physician
  • Debary, FL
National Provider Identifier
1649644162
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ANTONIO CUBANO, M.D., P.A.
Practice address
352 Englenook Dr
Debary, FL 32713-1803
Phone
(407) 732-7266
Fax
(407) 732-7310
NPI assigned
Nov 20, 2015
Last updated
Nov 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Dr. Antonio Miguel Cubano, M.D.NPI 1881895951
Title
Director
Phone
(407) 732-7266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

352 Englenook Dr
Debary, FL 32713-1803

Mailing address

352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160127001136 FL Part B Supplier - Clinic/Group Practice 8628371507 Receives reassigned benefits from 5 practitioners
Practice locations: Debary, FL; Orlando, FL

National Provider Directory

National Provider Directory

Locations

352 Englenook Dr
Debary, FL 32713
Phone (407) 427-1855

725 Primera Blvd
Ste 140
Lake Mary, FL 32746
Phone (407) 732-3274

10801 Dylan Loren Cir
Ste B
Orlando, FL 32825
Phone (407) 674-9646

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1649644162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 ENGLENOOK DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131803",
            "telephone_number": "407-732-7266",
            "fax_number": "407-732-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 ENGLENOOK DR",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327131803",
            "telephone_number": "407-732-7266",
            "fax_number": "407-732-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO CUBANO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "CUBANO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-732-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.