# MAXIMO L. CUETO JR. M.D.S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730440470
- **Authorized official:** DR. MAXIMO LIBRADA CUETO JR. M.D. (PRESIDENT)
- **Authorized official phone:** (414) 282-1152

## Contact information

- **Practice address:** 2745 W LAYTON AVE, SUITE 102, MILWAUKEE, WI 53221-2651
- **Practice address phone:** (414) 282-1152
- **Practice address fax:** (414) 282-5485
- **Mailing address:** 2745 W LAYTON AVE, SUITE 102, MILWAUKEE, WI 53221-2651
- **Mailing address phone:** (414) 282-1152
- **Mailing address fax:** (414) 282-5485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 20379-20 | WI | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 20379-20 | WI | Yes |

## Other

- **Enumeration date:** 05/30/2012
- **Last updated:** 05/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000073674 | MEDICARE | WI |
| 05 | — | 3010-7800 | — | WI |