Individual provider Active NPI

Wilfredo Cuevas, M.D.

  • General Practice Physician
  • San Lorenzo, PR
National Provider Identifier
1720296718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8169 Issued in PR
Practice address
C18 Urb San Miguel
San Lorenzo, PR 00754-4008
Phone
(787) 466-0756
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

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
General Practice Physician 208D00000X 8169 PR Primary

Addresses

Primary practice location

C18 Urb San Miguel
San Lorenzo, PR 00754-4008

Mailing address

C18 Urb San Miguel
San Lorenzo, PR 00754-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702000269 PR Practitioner - General Practice 4385086180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8169PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Integrate Program Services, Inc. General Practice CurrentSince Apr 24, 2024 Accepting new patients
Ryder Memorial Hospital Inc Past Accepting new patients

Locations

355 Calle Font Martelo
Humacao, PR 00791
Phone (787) 587-4266

Organizations & group practices 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720296718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C18 URB SAN MIGUEL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C18 URB SAN MIGUEL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544008",
            "telephone_number": "787-466-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "WILFREDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.