Individual provider Active NPI

Ernesto Fuentes, M.D

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1649266461
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69147 Issued in FL
Practice address
601 N Flamingo Rd
Suite 400
Pembroke Pines, FL 33028-1015
Phone
(954) 687-9745
Fax
(954) 666-0668
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME69147 FL Primary

Addresses

Primary practice location

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

Mailing address

2114 N Flamingo Rd
Ste 306
Pembroke Pines, FL 33028-3501
Phone (954) 687-9745

Other identifiers 1

IdentifierTypeStateIssuer
251312900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, NC, OK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100302000530 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5395880306 Reassigns benefits to 1 organization
I20200127001214 NM Practitioner - Internal Medicine 5395880306 Reassigns benefits to 3 organizations
I20240524003271 NC Practitioner - Internal Medicine 5395880306 Reassigns benefits to 2 organizations
I20250320002014 OK Practitioner - Hospitalist 5395880306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69147FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Emergency Physicians PLLC CurrentSince Oct 21, 2022 Accepting new patients
Western Mountain Hospital Physicians PLLC CurrentSince Oct 21, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jan 3, 2020 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jan 3, 2020 Accepting new patients
Warren Clinic Inc CurrentSince Feb 12, 2025 Accepting new patients
Southeastern Medical Group, PC CurrentSince Nov 1, 2024 Accepting new patients
Lake Wales Physician Services, LLC CurrentSince Sep 7, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Apr 13, 2024 Accepting new patients
Hyperbaric Associates of Florida P a Past Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients

Locations

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1649266461",
    "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": {
        "last_name": "FUENTES",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251312900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.