Individual provider Active NPI

Alberto Nunez-Cubillas, PA-C

  • Surgical Physician Assistant
  • Tampa, FL
National Provider Identifier
1689638827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9101680 Issued in FL
Practice address
12880 Commodity PL
C/O United Surgical Assistants
Tampa, FL 33626-3101
Phone
(813) 865-1340
Fax
(813) 865-1348
NPI assigned
Apr 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9101680 FL Primary

Addresses

Primary practice location

12880 Commodity PL
C/O United Surgical Assistants
Tampa, FL 33626-3101

Mailing address

PO Box 21686
C/O United Surgical Assistants
Tampa, FL 33622-1686

Other identifiers 2

IdentifierTypeStateIssuer
P00158390OtherRAILROAD MEDICARE
291085300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001038 FL Practitioner - Physician Assistant 9335037290 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Emergency Group, LLC CurrentSince Sep 29, 2021 Accepting new patients
Pasco Emergency Physicians LLC Past Accepting new patients
Emergency Services of Zephyrhills PA Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Past Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689638827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21686",
            "address_2": "C/O UNITED SURGICAL ASSISTANTS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 COMMODITY PL",
            "address_2": "C/O UNITED SURGICAL ASSISTANTS",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263101",
            "telephone_number": "813-865-1340",
            "fax_number": "813-865-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ-CUBILLAS",
        "first_name": "ALBERTO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9101680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00158390",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291085300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.