Active NPI
Esteban Fuentes, B.S. SLP-ASSISTANT
- Speech-Language Assistant
- McAllen, TX
National Provider Identifier
1114255387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 34979
- Practice address
- 2001 S Cynthia St
Ste. a
McAllen, TX 78503-1278 - Phone
- (956) 630-6300
- Fax
- (956) 630-3443
- NPI assigned
- Nov 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 34979 | TX | Primary |
Addresses
Primary practice location
2001 S Cynthia St
Ste. a
McAllen, TX 78503-1278
Mailing address
2001 S Cynthia St
Ste. a
McAllen, TX 78503-1278
Phone (956) 630-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167033301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34979 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1114255387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S CYNTHIA ST",
"address_2": "STE. A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031278",
"telephone_number": "956-630-6300",
"fax_number": "956-630-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S CYNTHIA ST",
"address_2": "STE. A",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031278",
"telephone_number": "956-630-6300",
"fax_number": "956-630-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "ESTEBAN",
"credential": "B.S. SLP-ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "34979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167033301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.