Active NPI
Jose Eliud Fuentes, M.D.
- Ophthalmology Physician
- Corpus Christi, TX
National Provider Identifier
1609200781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- DD7752
- Practice address
- 5533 Ocean Drive
Corpus Christi, TX 78412 - Phone
- (361) 991-1657
- Fax
- (361) 991-5340
- NPI assigned
- Aug 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | DD7752 | TX | Primary |
Addresses
Primary practice location
5533 Ocean Drive
Corpus Christi, TX 78412
Mailing address
5533 Ocean Drive
Corpus Christi, TX 78412
Phone (361) 991-1657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD7752 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1609200781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5533 OCEAN DRIVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-991-1657",
"fax_number": "361-991-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 OCEAN DRIVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78412",
"telephone_number": "361-991-1657",
"fax_number": "361-991-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "JOSE",
"middle_name": "ELIUD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "DD7752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.