Monique F Fuentes, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT008398 Issued in GA

Practice address

Camellia at Deerwood
10061 Sweetwater Parkway
Jacksonville, FL 32256-3225

Phone

(904) 519-1034

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1376799684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WINSTON LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037400",
            "telephone_number": "904-635-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAMELLIA AT DEERWOOD",
            "address_2": "10061 SWEETWATER PARKWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563225",
            "telephone_number": "904-519-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 E 63rd St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054420",
            "country_code": "US",
            "telephone_number": "912-352-8615 x144",
            "fax_number": "912-355-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MONIQUE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11535",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT008398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ailyn Fuentes Solorzano
• Karina Fuentes-Guillemyn, M.D.
• Aura S Fuentes, M.D.
• Eileen P Fuentes, APRN
• Jennifer Fuentes, ARNP
• Shelby Fuentes, PT, DPT
• Erica B Fulcar Made
• Christopher Fulcher
• Mary Alice Fulghum, LMFT, L.P.C.
• Paul Fulghum, OD PA

• Geriatric Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Geriatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.