Marlene Fuentes Casanas

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

16-241 Issued in FL

Practice address

1033 SW 167 Ave
Pembroke Pines, FL 33027

Phone

(786) 280-5702

NPI assigned

May 4, 2016

Sex

Female

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

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1356797708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 SW 167TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271423",
            "telephone_number": "786-280-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 SW 167 AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "786-280-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES CASANAS",
        "first_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "16-241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frona P Israel MSW Bba Inc
• Laura V. Frontera, MD
• Jason Frost, D.O.
• Fruggiero Counseling Services, LLC
• Jessica Fruggiero, LMHC
• Leisy Fuentes Mederos
• Ernesto Fuentes, M.D
• Yessica Fuentes
• Jessica Fugitt, DO
• Yulissa Fundora, LMHC, PSYD

• Community Health Worker in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.