MISS MARIELA CRISTINA CUEBAS FANTAUZZI MD
NPI 1629571146
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Active since March 11, 2018PECOS EnrolledAccepts Medicare Assignment
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Sep 24, 2024, Aug 12, 2024 and 2 more (5 updates tracked since 2018).

About Miss Mariela Cristina Cuebas Fantauzzi Md NPPES

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

MISS MARIELA CRISTINA CUEBAS FANTAUZZI MD (NPI 1629571146) is an individual student in an organized health care education/training program in Surprise, Arizona, licensed in Arizona (R82401) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1629571146
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS MARIELA CRISTINA CUEBAS FANTAUZZICredential: MD
Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503
Mailing Address13995 W Statler Blvd Ste 200Surprise, AZ 85374-5503 · (602) 478-3100
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2021
Enumeration DateMarch 11, 2018
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1629571146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Licenses Licensed in AZ · R82401 Licensed in PR · 6065629
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 23562 (PR), ACN1643 (FL)
13995 W STATLER BLVD STE 200, Surprise, AZ 85374

Secondary Practice Locations 3

Location 11156 Calle 62 SESan Juan, PR 00921-2724 · Phone (787) 758-2525
Location 2Carr 135 KM 4.5Lares, PR 00631 · Phone (787) 829-5010
Location 3950 County Road 17A WAvon Park, FL 33825-2164 · Phone (866) 234-8534

Other Identifiers 2

Medicaid123550500FL
OtherZ8H8NFL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Mariela Cristina Cuebas Fantauzzi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224576210
PECOS Enrollment IDI20240821004289
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Family Medicine
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Family Medicine (Sports Medicine)
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374

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 Mariela Cuebas Fantauzzi's NPI number?

The NPI number for Mariela Cuebas Fantauzzi is 1629571146. It was assigned to this individual provider in the NPPES registry on March 11, 2018.

Where is Mariela Cuebas Fantauzzi located?

Mariela Cuebas Fantauzzi practices at 13995 W Statler Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Mariela Cuebas Fantauzzi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariela Cuebas Fantauzzi enrolled in Medicare?

Yes. Mariela Cuebas Fantauzzi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mariela Cuebas Fantauzzi accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mariela Cuebas Fantauzzi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mariela Cuebas Fantauzzi affiliated with any hospitals?

According to CMS data, Mariela Cuebas Fantauzzi is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Mariela Cuebas Fantauzzi was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.