Individual provider Active NPI

Alberto Sanchez de Fuentes, M.D.

  • Gynecology Physician
  • Kissimmee, FL
National Provider Identifier
1396142055
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
LL523 Issued in FL
Practice address
1482 Grandview Blvd
Kissimmee, FL 34744-6615
Phone
(407) 847-0384
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X LL523 FL Primary

Addresses

Primary practice location

1482 Grandview Blvd
Kissimmee, FL 34744-6615

Mailing address

1482 Grandview Blvd
Kissimmee, FL 34744-6615
Phone (407) 847-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL523FLMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1396142055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 GRANDVIEW BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446615",
            "telephone_number": "407-847-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 GRANDVIEW BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347446615",
            "telephone_number": "407-847-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ DE FUENTES",
        "first_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "LL523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.