Provider Demographics
NPI:1730340704
Name:CUELLAR MEJIA, SONIA L (MD)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:L
Last Name:CUELLAR MEJIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2623 S SEACREST BLVD
Mailing Address - Street 2:SUITE 65
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7501
Mailing Address - Country:US
Mailing Address - Phone:561-735-6553
Mailing Address - Fax:561-735-7739
Practice Address - Street 1:2815 S SEACREST BLVD
Practice Address - Street 2:SUITE W-ER
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7969
Practice Address - Country:US
Practice Address - Phone:561-735-6553
Practice Address - Fax:561-735-7739
Is Sole Proprietor?:No
Enumeration Date:2008-06-22
Last Update Date:2015-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA228022207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine