Individual
DR. JOAQUIN J FUENMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11880 BIRD RD STE 402, MIAMI, FL 33175-3575
(305) 226-0080
(305) 226-0707
Mailing address
PO BOX 650130, MIAMI, FL 33265-0130
(305) 226-0080
(305) 228-5478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME42923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371455100
—
FL
Enumeration date
09/26/2005
Last updated
10/23/2020
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