Individual
MACARENA INES DE LA FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 NW 14TH ST, 13TH FLOOR, SUITE 1332, MIAMI, FL 33136-2107
(305) 243-4951
(305) 243-8108
Mailing address
1120 NW 14TH ST, 13TH FLOOR, SUITE 1332, MIAMI, FL 33136-2107
(305) 243-4951
(305) 243-8108
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P81859
NY
Other
Enumeration date
10/17/2011
Last updated
07/28/2014
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