Provider Demographics
NPI:1265585681
Name:CUTINO, JUAN A (DDS)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:A
Last Name:CUTINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 SW 154TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2646
Mailing Address - Country:US
Mailing Address - Phone:305-554-6364
Mailing Address - Fax:
Practice Address - Street 1:7311 SW 62ND AVE
Practice Address - Street 2:203
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-8804
Practice Address - Country:US
Practice Address - Phone:305-667-2633
Practice Address - Fax:305-284-0127
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL117931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice