Ileana Fuentes MD, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME75683 Issued in FL

Legal business name

ILEANA FUENTES MD, PA

Practice address

4343 W Flagler St Ste 210
Coral Gables, FL 33134-1586

Phone

(305) 588-4290

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ileana Fuentes, M.D.

Title

President

Phone

(305) 588-4290

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1134535198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SW 108TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652450",
            "telephone_number": "305-588-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 W FLAGLER ST STE 210",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341586",
            "telephone_number": "305-588-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILEANA FUENTES MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-588-4290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME75683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Yanet Iglesias, APRN
• Joseph A Ignacio, D.O.
• Marianna Ilachtchouk, DNP, CRNA
• Kirill F Ilalov, M.D.
• Ilan Melnick MD PA
• Imagen Diagnostic Services, Inc.
• Imaging Specialists of Florida
• Immunization Access Providers, Inc.
• Improving Behaviors of FL Corporation
• In Your Home Rehab LLC

• Pediatrics Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.