Lietty Cuellar

NPI # 

Practice Address:

6036 Nw 194Th St

Hialeah, FL, 33015-4812

Practice Phone:

305-775-0728

License Number:

F02250408

License State:

FL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Deactivation Date:

2025-03-07T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2025-03-17T00:00:00.000Z

Updated by NPPES on 3/17/2025. You can view the original data set for NPI # 1417762972 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Lietty Cuellar 's

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