Luis Fuentes III, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

R8190 Issued in TX

Practice address

4818 Holly Rd Ste a
Corpus Christi, TX 78411

Phone

(361) 993-1747

Fax

(361) 993-1748

NPI assigned

Jul 31, 2015

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amistad Community Health Center IncorporatedGroup PAC ID 8527131036, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dor Ans Home Health Service Inc Home health agency, Robstown, TX, CCN 677620

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: luis.fuentes@bachc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amistad Community Health Center Incorporated

  dba Amistad Health

  • Federally Qualified Health Center (FQHC)
  • Corpus Christi, TX
  • NPI 1386770147
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dor-Ans Home Health Service Inc

  • Home Health Agency
  • Robstown, TX
  • NPI 1689668006
  Care Compare affiliation

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1487030417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 NILE DR APT 422",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124965",
            "telephone_number": "956-236-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 HOLLY RD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-993-1747",
            "fax_number": "361-993-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "BP10053714",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "R8190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Fuentes, NCC, LPC-ASSOCIATE
• Dorothy E Fuentes, M.D.
• Esbeidi I Fuentes
• Jacquelyn M Fuentes, OTA
• Jose Eliud Fuentes, M.D.
• Michael Gerard Fuentes, M.D.
• Randy Anthony Fuentes, M.D.
• Christal Dawn Fuller, OT
• Crystal Lee Fultz
• Burcham Cooper Fuqua Jr., MD

• General Practice Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.