Jacqueline Tatiana Cuellar, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9406046 Issued in FL

Practice address

8260 W Flagler St Ste 2I
Miami, FL 33144-2069

Phone

(786) 715-9183

Fax

(786) 713-1115

NPI assigned

Aug 11, 2018

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Magic Medical Group Inc.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1730646787
  NPD
• Magic Medical Specialties Corp

  • Neurology Physician
  • Orlando, FL
  • NPI 1588282776
  NPD

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

{
    "created_epoch": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1659850501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 S ORANGE BLOSSOM TRL # 19",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378320",
            "telephone_number": "407-601-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2I",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "JACQUELINE",
        "middle_name": "TATIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9406046",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9406046",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "19961979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addys Yameris Cuellar Herrera, FNP-C
• Hillarys Cuellar Mato
• Nora Cuellar Ortiz
• Aniabel Maria Cuellar Rojas
• Arlenys Del Carmen Cuellar Suarez, DMD
• Juan M Cuellar, MD
• Julio Cuellar, CBHCM-P
• Maria L Cuellar
• Maria Victoria Cuellar, ARNP
• Marlene Cuellar, APRN

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.