Individual
MR. ROBERTO GONZALEZ-CUETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1150 NW 72 AVE, SUITE 310, MIAMI, FL 33126
(305) 597-0869
(305) 597-0873
Mailing address
1150 NW 72 AVE, SUITE 310, MIAMI, FL 33126
(305) 597-0869
(305) 597-0873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9100804
P.A. LICENSE
FL
Enumeration date
09/11/2006
Last updated
08/30/2007
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