NPIMap

Organization Active NPI

Doctor Fuentes Healthcare

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1104580208
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTOR FUENTES HEALTHCARE
Practice address
1932 SW 142ND CT
Miami, FL 33175-7088
Phone
(786) 502-1026
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Sadys Fuentes
Title
Owner
Phone
(786) 502-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1932 SW 142ND CT
Miami, FL 33175-7088

Mailing address

1932 SW 142ND CT
Miami, FL 33175-7088
Phone (786) 502-1026

Other identifiers 1

IdentifierTypeStateIssuer
LICENSEOtherFL147155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1104580208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757088",
            "telephone_number": "786-502-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757088",
            "telephone_number": "786-502-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FUENTES HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "SADYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-502-1026"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "147155",
            "identifier": "LICENSE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.