Randy Anthony Fuentes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F6638 Issued in TX

Practice address

1101 S 19TH St
Corpus Christi, TX 78405-1525

Phone

(361) 884-0811

Fax

(361) 884-0812

NPI assigned

Aug 12, 2006

Last updated

Nov 20, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1649282641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 19TH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051525",
            "telephone_number": "361-884-0811",
            "fax_number": "361-884-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 19TH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051525",
            "telephone_number": "361-884-0811",
            "fax_number": "361-884-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "RANDY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F6638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114342205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esbeidi I Fuentes
• Jacquelyn M Fuentes, OTA
• Jose Eliud Fuentes, M.D.
• Luis Fuentes III, D.O.
• Michael Gerard Fuentes, M.D.
• Christal Dawn Fuller, OT
• Crystal Lee Fultz
• Burcham Cooper Fuqua Jr., MD
• Brooklynn Faith Furnish, SLPA
• Future Focus Direct

• Internal Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.