Raymond Fuentes, AGPCNP-C

Primary specialty

Occupational Health Nurse PractitionerTaxonomy code 363LX0106X

License

1056804 Issued in TX

Practice address

3901 N Twin City Hwy
Port Arthur, TX 77642-2118

Phone

(210) 588-5000

NPI assigned

Oct 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1093479503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7624 BOARDWALK",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776576987",
            "telephone_number": "409-330-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "210-588-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "RAYMOND",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-30",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "TX",
            "license": "1056804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Foots
• Angela Dianne Ford, FNP-C
• Charles D Foutz, MD
• Lindsey Taylor Fowler, PA
• Sean Edward Franklin, D.MIN., LPC
• Devon Nicole Fults, M.A., LPC
• Joshua W Fults, M.A., LPC
• Madison Paige Fuston, DDS
• Anthony O. Gambrah Sampaney, MD. FACP
• Ramon J Garcia, MD

• Occupational Health Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Occupational Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.