- Practice location
- 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503
- Phone
- 602-478-3100
- Fax
- —
- Last updated
- June 3, 2026
Mariela Cristina Cuebas Fantauzzi is a Student in an Organized Health Care Education/Training Program based in Surprise, AZ. Mariela Cristina Cuebas Fantauzzi practices in Surprise, AZ and has the professional credentials of MD. The NPI Number for Mariela Cristina Cuebas Fantauzzi is 1629571146 and holds a License No. R82401 (AZ). The current practice location address for Mariela Cristina Cuebas Fantauzzi is 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503 and can be reached out via phone at 602-478-3100.
Provider Profile Details
- NPI Number
- 1629571146
- Provider Name
- Mariela Cristina Cuebas Fantauzzi
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503
- Phone Number
- 602-478-3100
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 11, 2018
- Last Update Date
- June 3, 2026
- Certification Date
- June 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13995 W Statler Blvd Ste 200
Surprise, AZ 85374-5503 - City
- Surprise
- State
- Arizona
- Zip
- 85374-5503
- Phone Number
- 602-478-3100
Provider Business Mailing Address Details
- Address
- 13995 W Statler Blvd Ste 200
Surprise, AZ 85374-5503 - City
- Surprise
- State
- AZ
- Zip
- 85374-5503
- Phone Number
- 602-478-3100
License Information
- License Number (1)
- R82401
- License State (1)
- AZ
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
- License Number (2)
- 23562
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X
- License Number (3)
- 6065629
- License State (3)
- PR
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- ACN1643
- License State (4)
- FL
- Taxonomy (4)
- General Practice · 208D00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Mariela C Cuebas Fantauzzi, MD?
The NPI number of Miss Mariela C Cuebas Fantauzzi, MD is 1629571146. It was assigned on March 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Miss Mariela C Cuebas Fantauzzi, MD?
Miss Mariela C Cuebas Fantauzzi, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in AZ under license number R82401.
Where does Miss Mariela C Cuebas Fantauzzi, MD practice?
The practice location is 13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503. The office can be reached at 602-478-3100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629571146 directly on the NPPES registry website.