Provider Demographics
NPI:1982157541
Name:JAVIER ANDRES CUTINO
Entity Type:Organization
Organization Name:JAVIER ANDRES CUTINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:CUTINO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-641-7595
Mailing Address - Street 1:368 SEVILLA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6615
Mailing Address - Country:US
Mailing Address - Phone:786-641-7595
Mailing Address - Fax:
Practice Address - Street 1:8440 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5417
Practice Address - Country:US
Practice Address - Phone:786-641-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 22154122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty