Active NPI
Jose Gregorio Polo-Cueto, M.D ACN
- General Practice Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN496
- Practice address
- 832 W Central Blvd
Orlando, FL 32805-1809 - Phone
- (407) 723-4244
- Fax
- (407) 845-6119
- NPI assigned
- Sep 21, 2012
- Last updated
- Aug 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN496 | FL | Primary |
| General Practice Physician | 208D00000X | 20004 | PR |
Addresses
Primary practice location
832 W Central Blvd
Orlando, FL 32805-1809
Mailing address
832 W Central Blvd
Orlando, FL 32805-1809
Phone (407) 723-4244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P208-844-85-500-0 | Other | FL | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
249 E Collins St
Umatilla, FL 32784-8383
Phone (352) 483-7977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN 946 | FL | MD | General Practice Physician |
| 20004 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients | |
| DMS Medical LLC | Past | Accepting new patients |
Locations
2113 Griffin Rd
Leesburg, FL 34748
Phone (352) 483-7977
6101 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 723-5029
832 W Central Blvd
Orlando, FL 32805
Phone (407) 836-2619
249 E Collins St
Umatilla, FL 32784
Phone (352) 483-7977
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba lake county health Department
- Public Health or Welfare Agency
- Eustis, FL
- NPI 1679548861
-
dba Orange County Health Department
- Public Health or Welfare Agency
- Orlando, FL
- NPI 1023055944
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
dba 33 rd Street Medical Center
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1932543758
-
- Community Health Clinic/Center
- Key West, FL
- NPI 1639148919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1609127307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 W CENTRAL BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051809",
"telephone_number": "407-723-4244",
"fax_number": "407-845-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 W CENTRAL BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051809",
"telephone_number": "407-723-4244",
"fax_number": "407-845-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLO-CUETO",
"first_name": "JOSE",
"middle_name": "GREGORIO",
"name_prefix": "Dr.",
"credential": "M.D ACN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-21",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN496",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "20004",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "P208-844-85-500-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.