Active NPI
Fuentes Medical Center Inc
- Clinic/Center
- Hialeah, FL
National Provider Identifier
1780260224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FUENTES MEDICAL CENTER INC
- Practice address
- 18400 NW 75TH PL Ste 116
Hialeah, FL 33015-2956 - Phone
- (786) 584-8531
- Fax
- (305) 640-5776
- NPI assigned
- Mar 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pedro Luis Camejo
- Title
- President
- Phone
- (786) 584-8531
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
18400 NW 75TH PL Ste 116
Hialeah, FL 33015-2956
Mailing address
18400 NW 75TH PL Ste 116
Hialeah, FL 33015-2956
Phone (786) 584-8531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Fuentes Medical Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Hialeah, FL
- NPI 1144957606
-
- Behavior Analyst
- Hialeah, FL
- NPI 1972230431
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Miami, FL
- NPI 1205873817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1780260224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18400 NW 75TH PL STE 116",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152956",
"telephone_number": "786-584-8531",
"fax_number": "305-640-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18400 NW 75TH PL STE 116",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152956",
"telephone_number": "786-584-8531",
"fax_number": "305-640-5776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUENTES MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "CAMEJO",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-584-8531"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.