Cuello Diaz, Gustavo A

Cuello Diaz, Gustavo A is an individual health care provider with primary practice located at 4 Ernesto Ramos Antonini Bo Amelia, Guaynabo PR 00965. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cuello Diaz, Gustavo A can be contacted via phone (787) 792-4308.

Contact Information

Primary practice address
4 Ernesto Ramos Antonini Bo Amelia Guaynabo PR 00965
Phone: (787) 792-4308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 10859 Puerto Rico

Profile Details

NPI number 1114914074
LBN Legal business name Cuello Diaz, Gustavo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 15th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114914074 NPPES
Puerto Rico Other 10859 STATE LICENSE

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