Provider Demographics
NPI:1629181003
Name:CUETO, SYLVIA M (MD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:M
Last Name:CUETO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2010
Practice Address - Country:US
Practice Address - Phone:717-782-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069031L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001363485OtherHIGHMARK BCBS
PA30024881OtherKEYSTONE
PA0018816700004Medicaid
PA0018816700005Medicaid
PA1514932OtherGATEWAY
PA141212OtherUNISON
PA50010067OtherCAPITAL BCBS
PA64769OtherGEISINGER
PA0018816700004Medicaid
PA055239RQJMedicare PIN
PA50010067OtherCAPITAL BCBS