G J Cuadra M D P a

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME83167 Issued in FL

Legal business name

G J CUADRA M D P A

Practice address

2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455

Phone

(727) 669-3911

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo Cuadra, MDNPI 1790897304

Title

Owner

Phone

(727) 669-3911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo J Cuadra, M.D.

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1790897304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942495908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-669-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-669-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G J CUADRA M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CUADRA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-669-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME83167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.