Provider Demographics
NPI:1679241624
Name:CUEVAS, MARIA RITA (PT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:RITA
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:RITA
Other - Last Name:BANTUG-CUEVAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:9218 SKIPPING STONE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-7481
Mailing Address - Country:US
Mailing Address - Phone:281-701-5723
Mailing Address - Fax:
Practice Address - Street 1:9218 SKIPPING STONE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-7481
Practice Address - Country:US
Practice Address - Phone:281-701-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-7558-8225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist