Individual
JORGE E FUENTES
Active
Individual
JORGE E FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME119476
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME119476
FL
207RI0011X
Interventional Cardiology Physician
ME19476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012179700
—
FL
Enumeration date
05/10/2011
Last updated
09/21/2020
Update your record
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