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NPI Code Detail

MEDICARE: ROY L CUETO DPM PA

MEDICARE: ROY L CUETO DPM PA
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
1213EP1101XPrimary Podiatric Medicine PodiatristPO2816FL

General Provider Information

NPI Number : 1326064080
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROY L CUETO DPM PA
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 : PRESIDENT
Name : DR. ROY L. CUETO
Credential : DPM
Telephone Number : 786-254-7989
Provider Enumeration Date : 07/14/2006
Last Update Date : 06/24/2025

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