DR. GUSTAVO A CUELLO DIAZ M.D.
NPI 1114914074
General Practice in Guaynabo, PR

Active since October 05, 2005PECOS Enrolled
4 ERNESTO RAMOS ANTONINI, BO AMELIA, GUAYNABO, PR 00965(787) 792-4308 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gustavo A Cuello Diaz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUSTAVO A CUELLO DIAZ M.D. (NPI 1114914074) is an individual general practice provider in Guaynabo, Puerto Rico, licensed in Puerto Rico (10859) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114914074
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GUSTAVO A CUELLO DIAZCredential: M.D.
Location Address4 ERNESTO RAMOS ANTONINI, BO AMELIAGuaynabo, PR 00965
Mailing AddressU20 Calle Jasper, Urbanizacion Park GardensSan Juan, PR 00926-2139 · (787) 292-2018 · Fax (787) 292-2018
Sole ProprietorNo
Enumeration DateOctober 5, 2005
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1114914074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 10859
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 1

Other10859PR · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gustavo A Cuello Diaz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Cuello Diaz's NPI number?

The NPI number for Gustavo Cuello Diaz is 1114914074. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Gustavo Cuello Diaz located?

Gustavo Cuello Diaz practices at 4 Ernesto Ramos Antonini Bo Amelia, Guaynabo, PR 00965. The listed phone number is (787) 792-4308.

What is Gustavo Cuello Diaz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gustavo Cuello Diaz enrolled in Medicare?

Yes. Gustavo Cuello Diaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Cuello Diaz was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.