Individual
ANA FUENTEVILLA
Active
Individual
ANA FUENTEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
18893
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
T9687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110643
—
AZ
Enumeration date
11/09/2005
Last updated
05/13/2026
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