Healthcare Provider Details

I. General information

NPI: 1639439953
Provider Name (Legal Business Name): VICTOR CUETO JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VICTOR CUETO M.D.

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15155 SW 97TH AVE STE 100
MIAMI FL
33176-0049
US

IV. Provider business mailing address

15155 SW 97TH AVE STE 100
MIAMI FL
33176-0049
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-7272
  • Fax: 305-689-7273
Mailing address:
  • Phone: 305-689-7272
  • Fax: 305-689-7273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberME140098
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License NumberME140098
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME140098
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME140098
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: