Luz Stella Fuentes, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 9863 Issued in FL

Practice address

10265 SW 143Rd St
Miami, FL 33176-7071

Phone

(786) 525-1184

Fax

(305) 378-6736

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Therapy Works IncGroup PAC ID 2365521911, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Therapy Works Inc

  • Rehabilitation Clinic/Center
  • Miami, FL
  • NPI 1104919653

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Advance Therapy Works

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1871998039
  NPD (past) Authorized official
• Advance Therapy Works Inc.

  • Occupational Therapy Assistant
  • Miami, FL
  • NPI 1023438348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1083716807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 SW 143RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767071",
            "telephone_number": "786-525-1184",
            "fax_number": "305-378-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10265 SW 143RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767071",
            "telephone_number": "786-525-1184",
            "fax_number": "305-378-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LUZ",
        "middle_name": "STELLA",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 9863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886889100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leysi Fuentes
• Lisandra Fuentes
• Liset Fuentes
• Lorna Fuentes
• Luis Fuentes, AP
• Madeleidys Fuentes, RBT
• Mariela Fuentes
• Mario Fuentes, M.D
• Marta Fuentes, L.C.S.W.
• Miguel Armando Fuentes, LMT

• All providers in Miami, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.