Active NPI
Roberto Gonzalez-Cueto, PA-C
- Medical Physician Assistant
- Miami, FL
National Provider Identifier
1043314107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9100804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9100804 | Other | FL | P.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
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Miami, FL
- NPI 1881643864
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1700156650
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.