Active NPI
Angel L Cuesta DPM PA
- Podiatrist
- Gainesville, FL
National Provider Identifier
1912192113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2016
- Legal business name
- ANGEL L CUESTA DPM PA
- Practice address
- 6831 NW 11TH PL
Suite 3
Gainesville, FL 32605-4259 - Phone
- (352) 331-3077
- Fax
- (352) 331-3077
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angel Leandro Cuesta, DPM
- Title
- President
- Phone
- (352) 331-3077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2016 | FL | Primary |
Addresses
Primary practice location
6831 NW 11TH PL
Suite 3
Gainesville, FL 32605-4259
Mailing address
6831 NW 11TH PL
Suite 3
Gainesville, FL 32605-4259
Phone (352) 331-3077
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65174 | Other | FL | BCBS |
| 054892800 | Medicaid | FL | |
| 163970470871 | Other | FL | HUMANA |
| 2770028 | Other | FL | UNITED HEALTHCARE OF FL |
| 9177366 | Other | FL | CIGNA |
| 31257 | Other | FL | COVENTRY HEALTH |
| 816833126 | Other | FL | TRICARE |
National Provider Directory
National Provider DirectoryLocations
6831 NW 11th Pl
Ste 3
Gainesville, FL 32605
Phone (352) 331-3077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Gainesville, FL
- NPI 1053328518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1912192113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6831 NW 11TH PL",
"address_2": "SUITE 3",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054259",
"telephone_number": "352-331-3077",
"fax_number": "352-331-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6831 NW 11TH PL",
"address_2": "SUITE 3",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054259",
"telephone_number": "352-331-3077",
"fax_number": "352-331-3077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL L CUESTA DPM PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "CUESTA",
"authorized_official_first_name": "ANGEL",
"authorized_official_middle_name": "LEANDRO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-331-3077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "65174",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054892800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "163970470871",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF FL",
"identifier": "2770028",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9177366",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH",
"identifier": "31257",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "816833126",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Anesthesia Physician Solutions of North Florida, LLC
- Anesthesiology Associates of North Florida PA
- Tricia Aney
- Angel Hands Home Healthcare Service LLC
- Angel Hands Homecare Service LLC
- Angel Reyes and Associates
- Denise Patricia Angeles-Burke, APRN
- Audriana Angeles
- Angelic Blessings Acacdemy LLC (Angelic Blessings Heart & Home Care)
- Natalie Marie Angelos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.