Cuevas Bocanegra, Harry R

Cuevas Bocanegra, Harry R is an individual health care provider with primary practice located at 4445 S Semoran Blvd , Orlando FL 32822-2469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cuevas Bocanegra, Harry R can be contacted via phone (407) 203-8957.

Contact Information

Primary practice address
4445 S Semoran Blvd Orlando FL 32822-2469
Phone: (407) 203-8957
Fax: (855) 296-8047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ACN530 Florida
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 9694 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ACN530 Florida

Profile Details

NPI number 1932168762
LBN Legal business name Cuevas Bocanegra, Harry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Nov 11th, 2020 - about 4 years 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 1932168762 NPPES
Florida MEDICAID 010204300

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