Provider Demographics
NPI:1265543987
Name:CUETO, JOSE J (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:J
Last Name:CUETO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:3 MEDICAL PLAZA DR
Practice Address - Street 2:#260
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3087
Practice Address - Country:US
Practice Address - Phone:916-773-7977
Practice Address - Fax:916-773-7979
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
CAG68095207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G680950Medicaid
00G680951Medicare ID - Type Unspecified
CA00G680950Medicaid