Active NPI
G&a Professional Health Services PLLC
- Hospitalist Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- G&A PROFESSIONAL HEALTH SERVICES PLLC
- Practice address
- 3682 N Wickham Rd Ste B1-306
Melbourne, FL 32935-2325 - Phone
- (305) 934-8592
- NPI assigned
- Oct 9, 2018
- Last updated
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabriel E Cueto, MD
- Title
- Owner
- Phone
- (305) 934-8592
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
3682 N Wickham Rd Ste B1-306
Melbourne, FL 32935-2325
Mailing address
3682 N Wickham Rd Ste B1-300
Melbourne, FL 32935-2325
Phone (305) 934-8592
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KR887 | Other | FL | MEDICARE PTAN |
| DY8543 | Other | FL | RRMEDICARE PTAN |
| 101946200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3682 N Wickham Rd
Ste B1300
Melbourne, FL 32935
3682 N Wickham Rd
Ste B1306
Melbourne, FL 32935
Phone (305) 934-8592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Palm Bay, FL
- NPI 1356578629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1417422288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3682 N WICKHAM RD STE B1-300",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352325",
"telephone_number": "305-934-8592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3682 N WICKHAM RD STE B1-306",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329352325",
"telephone_number": "305-934-8592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&A PROFESSIONAL HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-09",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "CUETO",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-934-8592",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "KR887",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE PTAN",
"identifier": "DY8543",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101946200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.