Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
PATRICIO X FUENTES
Active
Individual
PATRICIO X FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016531
LICENSE
NY
Enumeration date
04/30/2013
Last updated
09/12/2013
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