Provider Demographics
NPI:1942397070
Name:CUEVAS, RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 LANARK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8697
Mailing Address - Country:US
Mailing Address - Phone:484-658-5437
Mailing Address - Fax:833-550-9701
Practice Address - Street 1:5425 LANARK RD STE 200
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8697
Practice Address - Country:US
Practice Address - Phone:484-658-5437
Practice Address - Fax:833-550-9701
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4731982084N0402X
CO51717208000000X
TNMD36528208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1942397070Medicaid
CO83781811Medicaid
NE100257576-00Medicaid
KS201071890AMedicaid
CO83781811Medicaid