Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
ALEX GERVACIO CUENCA MD
Gender: MALE
NPI: 1992871412
|
Last Updated: | 2019-06-17 | ||
| Certification Date: |
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992871412 | ||||||||||||||||
| Enumeration Date | 2006-11-27 | ||||||||||||||||
| NPI Type | 1 - Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address |
300 LONGWOOD AVE
BOSTON, MA 02115-5724 United States Phone: 617-355-6000 | Fax: View Map 
|
||||||||||||||||
| Primary Practice Address |
300 LONGWOOD AVE
BOSTON, MA 02115-5724 United States Phone: 617-355-6000 | Fax: View Map
|
||||||||||||||||
| Health Information Exchange |
|
||||||||||||||||
| Other Identifiers |
|
||||||||||||||||
| Taxonomy |
|
||||||||||||||||