Individual provider Active NPI

Juan A Cutino, DDS.

  • General Practice Dentistry
  • South Miami, FL
National Provider Identifier
1265585681
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11793 Issued in FL
Practice address
7311 SW 62ND Ave
203
South Miami, FL 33143-8804
Phone
(305) 667-2633
Fax
(305) 284-0127
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11793 FL Primary

Addresses

Primary practice location

7311 SW 62ND Ave
203
South Miami, FL 33143-8804

Mailing address

1408 SW 154TH Ave
Miami, FL 33194-2646
Phone (305) 554-6364

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11793FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Dental Assoc Past Accepting new patients

Organizations & group practices 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1265585681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SW 154TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942646",
            "telephone_number": "305-554-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 SW 62ND AVE",
            "address_2": "203",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331438804",
            "telephone_number": "305-667-2633",
            "fax_number": "305-284-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTINO",
        "first_name": "JUAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.