Manny Fuentes, CEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

CEP.CE0016 Issued in LA

Practice address

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Phone

(337) 289-7349

Fax

(337) 289-7328

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By 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 1

Addresses

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": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1629776190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51553",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051553",
            "telephone_number": "337-344-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7349",
            "fax_number": "337-289-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MANNY",
        "credential": "CEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "LA",
            "license": "CEP.CE0016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard C Fruge Jr., MD
• John Daniel Fruge, MD
• Mary Beth Fruge, P.A.-C
• Mona R. Fruge, RN
• Jacqueline Hasting Frye, APRN, FNP-C
• Bryce Fugarino, M.D.
• Fugetta & Dunaway Holdings, LLC
• Darah L Fugetta, DDS
• Juan M Fukuda, M.D.
• John Gary Fulgence

• Clinical Exercise Physiologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinical Exercise Physiologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.