DR. MARINAC TRISAN DE CUEVAS


Address: Villa Nevarez Prof Center, Suite 205, San Juan, PR 00927
Phone: 7877635878

DR. MARINAC TRISAN DE CUEVAS (NPI# 1275655318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275655318
Entity Type Individual
Full Name DR. MARINAC TRISAN DE CUEVAS
Credential MD PSYCHIATRIST CHIL
Practice Address Villa Nevarez Prof Center
Suite 205
San Juan
PR 00927
Mailing Address 2033 Benito Feijoo
El Senorial
San Juan
PR 00926
Practice Telephone 7877635878
Practice Fax Number 7877635886
Mailing Telephone 7877635878
Mailing Fax Number 7877635876
Enumeration Date 2007-04-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
2706 PR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR TRIPLE S 58096 01

Office Location

Street Address VILLA NEVAREZ PROF CENTER
SUITE 205
City SAN JUAN
State PR
Zip Code 00927

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1568771129 Mayra R Seda Psychologist Parque Centro, 900 Cerra St, San Juan, PR 00918-5000 2010-09-30

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1467622795 Rebecca M Lopez Psychologist M31 Calle 13, Condado Moderno, Caguas, PR 00725-2443 2008-03-03
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Competitor

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City SAN JUAN
Zip Code 00927

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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