Individual
DR. EDUARDO FUENTES BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 284-7787
Mailing address
15075 SW 155TH TER, MIAMI, FL 33187-0604
(786) 525-9799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME155234
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/27/2018
Last updated
07/18/2022
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