Individual provider Active NPI

Roberto Gonzalez-Cueto, PA-C

  • Medical Physician Assistant
  • Miami, FL
National Provider Identifier
1043314107
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9100804 Issued in FL
Practice address
1150 NW 72 Ave
Suite 310
Miami, FL 33126
Phone
(305) 597-0869
Fax
(305) 597-0873
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9100804 FL Primary

Addresses

Primary practice location

1150 NW 72 Ave
Suite 310
Miami, FL 33126

Mailing address

1150 NW 72 Ave
Suite 310
Miami, FL 33126
Phone (305) 597-0869

Other identifiers 1

IdentifierTypeStateIssuer
PA9100804OtherFLP.A. LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth C. Hernandez DPM PA Past Accepting new patients
Adcos 75 Medical Group, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1043314107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72 AVE",
            "address_2": "SUITE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-597-0869",
            "fax_number": "305-597-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72 AVE",
            "address_2": "SUITE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33126",
            "telephone_number": "305-597-0869",
            "fax_number": "305-597-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CUETO",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9100804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A. LICENSE",
            "identifier": "PA9100804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.