Antonio Miguel Cubano, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Debary, FL
NPI 1881895951 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1881895951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- ME101147 (FL)
- Practice address
- 352 Englenook Dr
Debary, FL 32713-1803 - Phone
- (407) 732-7266
- Fax
- (407) 732-7310
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Puerto Rico School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Antonio Cubano, M.D., P.a.
Practice addresses (Care Compare)
352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080807000036 | FL | Practitioner - Psychiatry | 1456425578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101147 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio Cubano, M.D., P.a. | Child & Adolescent Psychiatry | Current |
Accepting new patients |
| Spectrum Programs Inc | Child & Adolescent Psychiatry | Past | Accepting new patients |
Locations
352 Englenook Dr
Debary, FL 32713
Phone (407) 732-7266
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
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME101147 | FL | Yes |
Addresses
Primary practice location
352 Englenook Dr
Debary, FL 32713-1803
Mailing address
352 Englenook Dr
Debary, FL 32713-1803
Phone (407) 732-7266
Other providers in Debary, FL
- Carlos Enrique Contreras Benitez
- Susan Conyac
- John X Cordoba
- Crown Medical Transport LLC
- Nayaris Cruz
- Ashlynn Da Silva
- Jessica Crystal Daigle
- Lisa Dante
- Danvar and Associates LLC
- Varna Davalath
All providers in Debary, FL · Child & Adolescent Psychiatry Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.