Individual ProviderMiguel Leonardo Cuba TellezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address16950 SW 93rd Ave, Palmetto Bay, FL 33157-4413(786) 704-2432PECOS EnrollmentBased on the most recent information from CMS, provider Miguel Leonardo Cuba Tellez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881390805Provider TypeIndividualFull NameCuba Tellez, Miguel LeonardoCredentialFNPGenderMaleSole ProprietorYesEnumeration Date2/1/2023Last Updated2/28/2023Contact InformationPractice LocationPractice Address16950 SW 93rd Ave, Palmetto Bay, FL 33157-4413Phone(786) 704-2432FaxUnlisted FaxMailing LocationMailing Address16950 SW 93rd Ave, Palmetto Bay, FL 33157-4413Phone(786) 704-2432FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense11022553Florida