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Organization
MARIA GERALDINA FUENTES MD INC
Active
Organization
MARIA GERALDINA FUENTES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GERALDINA FUENTES M.D. (PRESIDENT)
(619) 941-1545
Entity
Organization
Contact information
Practice address
717 3RD AVE, CHULA VISTA, CA 91910-5803
(619) 941-1545
(619) 941-1558
Mailing address
717 3RD AVE, CHULA VISTA, CA 91910-5803
(619) 941-1545
(619) 941-1558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A83896
CA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A83896
—
CA
Enumeration date
07/01/2011
Last updated
05/20/2014
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