Provider Demographics
NPI:1548503071
Name:CUENCA, DARWIN LUY (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:DARWIN
Middle Name:LUY
Last Name:CUENCA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14212 EBONY WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3512
Mailing Address - Country:US
Mailing Address - Phone:917-756-1287
Mailing Address - Fax:
Practice Address - Street 1:14212 EBONY WAY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3512
Practice Address - Country:US
Practice Address - Phone:917-756-1287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41034225100000X
NY034087225100000X
HIPT-4164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist