Provider Demographics
NPI:1780952762
Name:CUETO, ADELAIDA D (MD)
Entity type:Individual
Prefix:
First Name:ADELAIDA
Middle Name:D
Last Name:CUETO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADELAIDA
Other - Middle Name:D
Other - Last Name:CUETO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5045 SW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6744
Mailing Address - Country:US
Mailing Address - Phone:786-817-2415
Mailing Address - Fax:786-651-2177
Practice Address - Street 1:16420 NW 59TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-5602
Practice Address - Country:US
Practice Address - Phone:786-817-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME147961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine