Individual
DR. ILEANA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(305) 576-0008
Mailing address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(786) 476-2819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME75683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254911500
—
FL
01
—
E1661Z
MEDICARE
FL
Enumeration date
11/01/2006
Last updated
10/31/2023
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