Fuentes Cosmetic Facility, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FUENTES COSMETIC FACILITY, INC.

Practice address

120 New York Ave
Ste. 1W
Huntington, NY 11743-2743

Phone

(631) 385-9377

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Candido Fuentes-Felix, M.D.

Title

Owner

Phone

(631) 385-9377

Specialties & licenses 1

Addresses

Tax ID family

Fuentes Cosmetic Facility Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fuentes Cosmetic Facility Inc.

  • Plastic Surgery Physician
  • Huntington, NY
  • NPI 1487883534
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376686550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE. 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-471-5852",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE",
            "address_2": "STE. 1W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432743",
            "telephone_number": "631-385-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTES COSMETIC FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES-FELIX",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-385-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicity Charlotte Frintzilas, OTR/L
• Ritsa Marie Frousios, MD
• Maureen Theresa Frye, MS
• Richerik S Fu, RN
• Fuentes Cosmetic Facility Inc.
• Candido E Fuentes, MD
• Stacey Arlene Funt, MD
• Peter C Gaal
• Mackenzie Grace Gail
• Lauren Gajewski, MA, ED.M, NCSP

• Ambulatory Surgical Clinic/Center in Huntington, NY
• Providers in Huntington, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.