Brandon Fuentes

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA28862 Issued in FL

Practice address

1285 Creekside Blvd E
Naples, FL 34109-0590

Phone

(803) 269-2798

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1508583741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 MADRID CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341046228",
            "telephone_number": "803-269-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090590",
            "telephone_number": "803-269-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PTA28862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Uknown",
            "affiliation": "N",
            "endpointDescription": "Uknown",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Uknown",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Uknown",
            "address_1": "1285 Creekside Blvd E",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341090590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scott Frost, P.T.A.
• Patricia Marie Fry, PA-C
• Scott Fuchs, D.O.
• Dineya Fuentes Abreu
• Gail Maria Fuentes Seijas, MD
• David Fuentes, PSY.D.
• Jessica Marcela Fuentes, CNM, APRN
• Barbara A. Fueredi, D.D.S.
• Alexandra Fuller, DDS
• Shea Alison Fuller, LCSW

• Physical Medicine & Rehabilitation Physician in Naples, FL
• Providers in Naples, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.