Individual
ADRIANA DE LA FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 BILTMORE WAY STE 109, CORAL GABLES, FL 33134-5724
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
62973
CA
363A00000X
Physician Assistant
Primary
PA9111893
FL
Other
Enumeration date
01/02/2019
Last updated
08/07/2024
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