Organization Active NPI

Mirtha E. Cuevas, M.D. Inc

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1962640854
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME78762 Issued in FL
Legal business name
MIRTHA E. CUEVAS, M.D. INC
Practice address
2106 E Hillcrest St
Orlando, FL 32803-4829
Phone
(407) 896-9250
Fax
(407) 897-7096
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Mrs. Madhuhshree Desiraju, M.D.
Title
President
Phone
(407) 896-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME78762 FL Primary

Addresses

Primary practice location

2106 E Hillcrest St
Orlando, FL 32803-4829

Mailing address

2106 E Hillcrest St
Orlando, FL 32803-4829
Phone (407) 896-9250

Other identifiers 1

IdentifierTypeStateIssuer
258496400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1962640854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034829",
            "telephone_number": "407-896-9250",
            "fax_number": "407-897-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034829",
            "telephone_number": "407-896-9250",
            "fax_number": "407-897-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRTHA E. CUEVAS, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "DESIRAJU",
        "authorized_official_first_name": "MADHUHSHREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-896-9250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME78762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258496400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.