Organization
DOCTOR FUENTES HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADYS FUENTES (OWNER)
(786) 502-1026
Entity
Organization
Contact information
Practice address
1932 SW 142ND CT, MIAMI, FL 33175-7088
(786) 502-1026
Mailing address
1932 SW 142ND CT, MIAMI, FL 33175-7088
(786) 502-1026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
147155
FL
Enumeration date
10/25/2021
Last updated
10/28/2021
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