Provider Demographics
NPI:1477435436
Name:CUETO HERNANDEZ, CARLOS MANUEL (RBT)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:MANUEL
Last Name:CUETO HERNANDEZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2503
Mailing Address - Country:US
Mailing Address - Phone:305-522-9310
Mailing Address - Fax:
Practice Address - Street 1:3531 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2503
Practice Address - Country:US
Practice Address - Phone:305-522-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty