Individual provider Active NPI

Irene Maria Cuesta, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1740496827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0003643 Issued in FL
Practice address
4770 Biscayne Blvd Ste 1140
Miami, FL 33137-3247
Phone
(305) 573-7200
NPI assigned
May 15, 2007
Sex
Female
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
Physician Assistant 363A00000X 0003643 FL Primary

Addresses

Primary practice location

4770 Biscayne Blvd Ste 1140
Miami, FL 33137-3247

Mailing address

13874 SW 75TH St
Miami, FL 33183-3010
Phone (305) 573-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003643FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alice R. Barba MD PA Past Accepting new patients

Organizations & group practices 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740496827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13874 SW 75TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331833010",
            "telephone_number": "305-573-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373247",
            "telephone_number": "305-573-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "IRENE",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "0003643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.