Maximo L. Cueto Jr. M.D.S.C.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

20379-20 Issued in WI

Legal business name

MAXIMO L. CUETO JR. M.D.S.C.

Doing business as

none

Practice address

2745 W Layton Ave
Suite 102
Milwaukee, WI 53221-2651

Phone

(414) 282-1152

Fax

(414) 282-5485

NPI assigned

May 30, 2012

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maximo Librada Cueto Jr., M.D.

Title

President

Phone

(414) 282-1152

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1730440470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W LAYTON AVE",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212651",
            "telephone_number": "414-282-1152",
            "fax_number": "414-282-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 W LAYTON AVE",
            "address_2": "SUITE 102",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212651",
            "telephone_number": "414-282-1152",
            "fax_number": "414-282-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMO L. CUETO JR. M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "CUETO",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "LIBRADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-282-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "20379-20",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "20379-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010-7800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000073674",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Michael Mawer, DO
• Grace Anne Mawhinney
• Max Care Medical Transportation
• Lynn L Maxa, D.O
• Tenisha Danielle Maxey
• Beatrice Maxwell-Henry, SAC-IT
• Andrea Maxwell, M.D.
• Marcia Ann Maxwell
• Marilyn P Maxwell, LPN
• Tabitha Maxwell

• Adolescent and Children Mental Health Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adolescent and Children Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.