Provider Demographics
NPI:1134301914
Name:GUERRERO CUETO, RAMON (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:GUERRERO CUETO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17522 CORSINO DR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4803
Mailing Address - Country:US
Mailing Address - Phone:813-240-9556
Mailing Address - Fax:813-289-6592
Practice Address - Street 1:5331 PRIMROSE LAKE CIR STE 112
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3764
Practice Address - Country:US
Practice Address - Phone:813-651-1085
Practice Address - Fax:813-289-6592
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100467208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010679700Medicaid