Active NPI
Melecia Fuentes MD PA
- Family Medicine Physician
- Weslaco, TX
National Provider Identifier
1396844296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MELECIA FUENTES MD PA
- Practice address
- 1206 E 6TH St
Weslaco, TX 78596-6420 - Phone
- (956) 447-8377
- Fax
- (956) 973-8034
- NPI assigned
- Sep 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melecia Fuentes, M.D.
- Title
- President
- Phone
- (956) 447-8377
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1206 E 6TH St
Weslaco, TX 78596-6420
Mailing address
1206 E 6TH St
Weslaco, TX 78596-6420
Phone (956) 447-8377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC6925 | Other | TX | RAILROAD MEDICARE GROUP |
| 170986701 | Medicaid | TX | |
| 170986702 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1315 E 6th St
Ste 12
Weslaco, TX 78596
Phone (956) 447-5110
Interoperability endpoints
- https://api.platform.athenahealth.com/13875/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Weslaco, TX
- NPI 1083713952
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1821595265
Family Medicine
-
- Family Medicine Physician
- Weslaco, TX
- NPI 1104239425
-
- Medical Physician Assistant
- Weslaco, TX
- NPI 1548852262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562544000000",
"number": "1396844296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E 6TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966420",
"telephone_number": "956-447-8377",
"fax_number": "956-973-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E 6TH ST",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966420",
"telephone_number": "956-447-8377",
"fax_number": "956-973-8034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELECIA FUENTES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2019-07-08",
"status": "A",
"authorized_official_last_name": "FUENTES",
"authorized_official_first_name": "MELECIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-447-8377",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DC6925",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170986701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170986702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.