Individual
DR. ERNESTO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
601 N FLAMINGO RD, SUITE 400, PEMBROKE PINES, FL 33028-1015
(954) 687-9745
(954) 666-0668
Mailing address
2114 N FLAMINGO RD, STE 306, PEMBROKE PINES, FL 33028-3501
(954) 687-9745
(954) 666-0668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251312900
—
FL
Enumeration date
09/27/2005
Last updated
11/22/2013
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