Jose N Fuentes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME137036 Issued in FL

Practice address

11616 Lake Underhill Rd Ste 205
Orlando, FL 32825-4466

Phone

(407) 601-5308

Fax

(407) 482-8698

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orlando Primary Medicine, LLCGroup PAC ID 7810333192, 2 clinicians

Orlando Heart and Vascular Center LLCGroup PAC ID 6800988619, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJCECD/Endpoint/EJCECD

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.

• Orlando Heart & Vascular Center LLC

  dba Orlando Primary Medicine

  • Interventional Cardiology Physician
  • Orlando, FL
  • NPI 1033230347

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Orlando Primary Medicine, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1376233346
  Medicare reassignment Care Compare group
• Family Care Centers Inc.

  dba Lehigh Valley Physician Group - Pocono

  • Internal Medicine Physician
  • E Stroudsburg, PA
  • NPI 1669563037
  Medicare reassignment NPD
• Family Care Centers Inc

  dba LVPG ExpressCare Pocono

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1316409626

  Internal Medicine

  NPD
• Allhealth LLC

  • Health Maintenance Organization
  • Lakeland, FL
  • NPI 1770023640
  NPD (past)
• Clinical Staffing Solutions P.C.

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1487684114
  NPD (past)
• Executive Health Resources Clinical Staffing Solutions PC

  • Internal Medicine Physician
  • Newtown Square, PA
  • NPI 1225067424
  NPD (past)
• Hera Inpatient Services

  • Internal Medicine Physician
  • Somers Point, NJ
  • NPI 1760511240
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1285654319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254465",
            "telephone_number": "407-482-7788",
            "fax_number": "407-482-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11616 LAKE UNDERHILL RD STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254466",
            "telephone_number": "407-601-5308",
            "fax_number": "407-482-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JOSE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME137036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Fuentes Gonzalez, RN
• Julimar Del Valle Fuentes Uzcategui
• Courtney Fuentes, LMHC
• Eileen E Fuentes
• Halle Fuentes, LMT
• Kathy Fuentes, OTA
• Lindsey Fuentes
• Noharis Fuentes, RBT, CNA
• Xiomara Fuentes
• Joirian J Fugh, DC

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.