# ERNESTO FUENTES MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598829137
- **Authorized official:** DR. ERNESTO FUENTES MD PA (PRESIDENT)
- **Authorized official phone:** (954) 687-9745

## Contact information

- **Practice address:** 601 N FLAMINGO RD, SUITE 400, PEMBROKE PINES, FL 33028-1015
- **Practice address phone:** (954) 687-9745
- **Practice address fax:** (954) 666-0668
- **Mailing address:** 2114 N FLAMINGO RD, STE 306, PEMBROKE PINES, FL 33028-3501
- **Mailing address phone:** (954) 687-9745
- **Mailing address fax:** (954) 666-0668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 11/22/2013