MEDICARE: DR. ROY L. CUETO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO2816	FL

General Provider Information

NPI Number	:	1700844008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY L. CUETO DPM

Provider Business Mailing Address
First Line	:	115 NW 132ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-1110
Country	:	US
Telephone Number	:	786-254-7989
Fax Number	:	305-640-5774

Provider Business Practice Location Address
First Line	:	3750 W 16TH AVE STE 102
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4645
Country	:	US
Telephone Number	:	786-254-7989
Fax Number	:	305-640-5774

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	06/24/2025

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