Fuentes Cosmetic Facility Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FUENTES COSMETIC FACILITY INC.

Practice address

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

Phone

(631) 385-9381

Fax

(631) 385-4372

NPI assigned

Jul 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Candido E Fuentes, MD

Title

President

Phone

(631) 385-9381

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.

  • Ambulatory Surgical Clinic/Center
  • Huntington, NY
  • NPI 1376686550
  NPD tax ID

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1487883534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE",
            "address_2": "SUITE 1W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432743",
            "telephone_number": "631-385-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE",
            "address_2": "1W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432743",
            "telephone_number": "631-385-9381",
            "fax_number": "631-385-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTES COSMETIC FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-385-9381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Ann Frimmer, L.P.
• 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

• Plastic Surgery Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.