Doctor Fuentes Healthcare
Internal Medicine in Miami, FL. Organization (NPI-2).
NPI number1104580208
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1104580208
- Entity type
- Organization (NPI-2)
- Legal business name
- Doctor Fuentes Healthcare
- Organization subpart
- No
- Enumeration date
- Oct 25, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1932 Sw 142nd CtMiami, FL 33175-7088
Phone 786-502-1026
Mailing address
1932 Sw 142nd CtMiami, FL 33175-7088
Phone 786-502-1026
Authorized official
Sadys Fuentes
Owner
7865021026
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