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General NPI Number Information
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NPI Number | 1326064080
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Entity Type | Organization
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Legal Business Name | ROY L CUETO DPM PA
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 3750 W 16TH AVE STE 102
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City | HIALEAH
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State | FL
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Zip | 33012-4645
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Country | US
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Telephone | 786-254-7989
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Fax | 305-640-5774
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Provider Business Mailing Address
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Address Line | 115 NW 132ND AVE
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City | MIAMI
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State | FL
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Zip | 33182-1110
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Country | US
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Telephone | 786-254-7989
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Fax | 305-640-5774
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROY L. CUETO
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Credential | DPM
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Telephone | 786-254-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO2816
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License Number State | FL
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