| Doctor Name: | DR. JOSE GREGORIO POLO-CUETO |
| NPI Number: | 1609127307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D ACN |
| License Number: | 20004 |
| Business Practice Address: | 4382 L B Mcleod Rd Orlando, FL - 328115619 |
| Business Phone Number: | 4076480076 |
| Business Fax Number: | 4076483666 |
| Mailing Address: | 4382 L B Mcleod Rd, ORLANDO |
| State: | FL |
| Postal Code: | 328115619 |
| Phone Number: | 4076480076 |
| Fax Number: | 4076483666 |
| NPI Enumeration Date: | 09/21/2012 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |