Individual provider Active NPI

Ydelio Gonzalez Cueto Sr., MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1063643443
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17684 Issued in PR
Practice address
Cond McLeary # 2072
Ocean Park
San Juan, PR 00911-1302
Phone
(787) 692-2151
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17684 PR Primary

Addresses

Primary practice location

Cond McLeary # 2072
Ocean Park
San Juan, PR 00911-1302

Mailing address

Cond McLeary # 2072
Ocean Park
San Juan, PR 00911-1302
Phone (787) 692-2151

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
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1063643443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MCLEARY # 2072",
            "address_2": "OCEAN PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111302",
            "telephone_number": "787-692-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MCLEARY # 2072",
            "address_2": "OCEAN PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111302",
            "telephone_number": "787-692-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CUETO",
        "first_name": "YDELIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.