MAXIMO L. CUETO JR. M.D.S.C. (NPI# 1730440470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730440470 |
| Entity Type | Organization |
| Organization Name | MAXIMO L. CUETO JR. M.D.S.C. |
| Other Organization Name | NONE |
| Practice Address |
2745 W Layton Ave Suite 102 Milwaukee WI 53221-2651 |
| Practice Telephone | 4142821152 |
| Practice Fax Number | 4142825485 |
| Mailing Telephone | 4142821152 |
| Mailing Fax Number | 4142825485 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | DR. MAXIMO LIBRADA CUETO JR. (PRESIDENT) |
| Authorized Official Telephone | 4142821152 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
20379-20 | WI | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
20379-20 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 3010-7800 | 05 | |
| WI | MEDICARE | 000073674 | 01 |
| Other Name | Type Code |
|---|---|
| none | Doing Business As Name - Organization |
| Street Address |
2745 W LAYTON AVE SUITE 102 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53221-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586560 | Fernando T. Itable | Internal Medicine | 2745 W Layton Ave, Suite 3201, Milwaukee, WI 53221-2651 | 2005-08-26 |
| 1245672856 | Ageless Wellness Center, Inc | General Practice | 2745 W Layton Ave, Suite 203, Milwaukee, WI 53221-2651 | 2013-07-24 |
| 1447580881 | Kaushalya Beniwal M D S C | Family Medicine | 2745 W Layton Ave, Suite 104, Milwaukee, WI 53221-2651 | 2010-01-07 |
| 1639353204 | Anilkumar Singh Md Sc | Surgery | 2745 W Layton Ave, Suite 202, Milwaukee, WI 53221-2651 | 2007-12-19 |
| 1316051063 | National Pedorthic Services, Inc. | Prosthetic/Orthotic Supplier | 2745 W Layton Ave, Suite 103, Milwaukee, WI 53221-2651 | 2006-08-19 |
| 1003826892 | Rodrigo Itable | Family Medicine | 2745 W Layton Ave, Suite 201, Milwaukee, WI 53221-2651 | 2006-08-08 |
| 1760408058 | Kaushalya Beniwal | Family Medicine | 2745 W Layton Ave, Suite # 104, Milwaukee, WI 53221-2651 | 2006-07-14 |
| 1902879810 | Debra L Kneisler | Physician Assistant | 2745 W Layton Ave, Suite 206, Milwaukee, WI 53221-2651 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
| 1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
| 1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
| 1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
| 1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
| 1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
| 1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
| 1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
| Find all providers in zip 53221 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375049 | Sj Counseling Services, LLC | Clinic/Center | 7726 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-19 |
| 1891976478 | Future Thoughts | Clinic/Center | 2623 N 53rd St, Milwaukee, WI 53210-2326 | 2007-11-24 |
| 1669518536 | Child & Adolescent Psychiatric Services, S.c. | Clinic/Center | 8989 N. Port Washington Rd., Suite 220, Milwaukee, WI 53217-1633 | 2007-01-29 |
| 1528344819 | Mark B. Smuckler Md Ltd | Clinic/Center | 155 E Silver Spring Dr, 203, Milwaukee, WI 53217-4704 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754167 | Asap-behavioral Health, Sc | Clinic/Center | 11380 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
| 1295224657 | Northwest Counseling & Guidance Clinic | Clinic/Center | 123 S Van Buren, Green Bay, WI 54301-4441 | 2018-05-01 |
| 1801308218 | Northwest Counseling & Guidance Clinic | Clinic/Center | 915 Acacia Ln, Rhinelander, WI 54501-2806 | 2017-10-26 |
| 1790143667 | Northwest Counseling & Guidance Clinic | Clinic/Center | 1201 North 28th Street, Northwest Journey - Northern Lights, Superior, WI 54880-8556 | 2016-02-05 |
| 1417334988 | Willow Creek Ranch, Inc. | Clinic/Center | 7404 Northwest Hwy # 83, Mukwonago, WI 53149-8903 | 2015-05-04 |
| 1770985467 | Northwest Counseling & Guidance Clinic | Clinic/Center | 16092 Highway 63, Hayward, WI 54843-9775 | 2014-09-24 |
| 1700018389 | Saris Counseling LLC | Clinic/Center | 3416 Association Dr, Appleton, WI 54914 | 2009-08-17 |
| 1467626606 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Suite 1, Ashland, WI 54806-1667 | 2008-04-18 |
| 1982821575 | Northwest Counseling and Guidance - Northwest Journey - Superior | Clinic/Center | 1419 Hill Ave Ste B, Superior, WI 54880-1951 | 2007-04-18 |
| 1184746828 | University of Wisconsin System Non Payroll | Clinic/Center | 122 E Olin Ave Ste 255, Madison, WI 53713 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAXIMO L. CUETO JR. M.D.S.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.