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Dr. Gustavo A Cuello Diaz, MD
General Practice Physician in Guaynabo, N/A
NPI 1114914074

Gustavo A Cuello Diaz is a General Practice Physician based in San Juan, . Gustavo A Cuello Diaz practices in Guaynabo, and has the professional credentials of MD. The NPI Number for Gustavo A Cuello Diaz is 1114914074 and holds a License No. 10859 (N/A).

The current practice location address for Gustavo A Cuello Diaz is 4 Ernesto Ramos Antonini, Guaynabo, and can be reached out via phone at 787-792-4308.

Location: 4 Ernesto Ramos Antonini, Guaynabo, , 00926-2139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114914074
Provider Name
Gustavo A Cuello Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4 Ernesto Ramos Antonini, Guaynabo, , 00926-2139
Phone Number
787-792-4308
Fax Number
Provider Enumeration Date
10/05/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10859 01 PR STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
4 Ernesto Ramos Antonini
City
Guaynabo
State
Zip
00965
Phone Number
787-792-4308
Fax Number
person
Provider Business Mailing Address Details
Address
4 Ernesto Ramos Antonini
City
Guaynabo
State
Zip
00965
Phone Number
787-792-4308
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
10859 ()
Definition
Definition to come...
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