Hard to tell without seeing the rest of him. From the head looks like a red zebra, could be cross bred though. Cute lil guy

Red zebra (metriaclima estherae). As far as keeping it alive and well, click the link on beginner guides and read up on cycling a tank.

What size tank?

My fish will occasionally develop a black spot here and there. I always attributed it to stress. It happens most often to new fish introduced to the tank. Or fish that aren't eating. Not sure of the pathophysiology though. Usually it goes away when the cause is determined.

How long has this tank been setup? If you bought the tank and fish today, this fish will see a lot of stress because he will be aiding the tank in its nitrogen cycle and will be subject to ammonia and nitrites. If this is the case then I suggest doing at least 30-40% water changes a few times a week. I am assuming you are a beginner in the hobby, so you definitely have a little homework to do.

Tank size is very important as well. African cichlids have much different requirements in comparison to other tropical fish. Most mbuna require a tank of at least 55 gallons with at least a 48" footprint.

it looks like a red zebra to me too. i have one and it has 2 little black spots on him also.he just recently got them and ive had him for about 6 months now.He hasnt acted different so i dont worry about it too much.

I agree - red zebra. And some have spots on them naturally. So I wouldn't worry too much about it.
This fish will eventually reach a respectable 5" and be quite aggressive - so it should be housed in a fairly large tank with tankmates similiar to itself. But even if kept as a singleton - it should be given at least a 20 gal tank.
Mbuna love hiding spots as you see - and love veggies - so dont feed a diet high in protein. Keep the ph abit high 7.6 - 7.8 and you'll have a friend who could live a nice ripe old age of 15-20 years!
Good luck!