Ernesto Fuentes MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ERNESTO FUENTES MD PA

Practice address

601 N Flamingo Rd
Suite 400
Pembroke Pines, FL 33028-1015

Phone

(954) 687-9745

Fax

(954) 666-0668

NPI assigned

Dec 20, 2006

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ernesto Fuentes, MD PANPI 1649266461

Title

President

Phone

(954) 687-9745

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernesto Fuentes, M.D

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1649266461
  Authorized official Same address or phone

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1598829137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 N FLAMINGO RD",
            "address_2": "STE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283501",
            "telephone_number": "954-687-9745",
            "fax_number": "954-666-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 400",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-687-9745",
            "fax_number": "954-666-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO FUENTES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-687-9745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251312900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Elena Enriquez Perez
• Michael Entenberg, MD
• Alejandra Fuentes Ergle, M.D.
• Nancy Lea Erickson, DO
• Ernesto Cardozo, M.D., P.a.
• Simone Michelle Escalante, LCSW
• Mellissa Escalona, A.R.N.P.
• Junie Escarment, LCSW
• Manuela Escobar Alvarez
• Allison Elizabeth Escobar, SLP

• Internal Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.