Provider Demographics
NPI:1871084038
Name:CUCUTA, ALYAEN FRANCISCO
Entity type:Individual
Prefix:
First Name:ALYAEN
Middle Name:FRANCISCO
Last Name:CUCUTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 CALLE JOSE E ARRARAS
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6601
Mailing Address - Country:US
Mailing Address - Phone:787-833-4510
Mailing Address - Fax:878-334-5107
Practice Address - Street 1:CARR 102 LIGHHOUSE PLAZA 113
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-994-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03974111N00000X
PR674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor