Lorraine Fuentes, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

3954626 Issued in FL

Practice address

18590 NW 67TH Ave
Suite # 101
Hialeah, FL 33015-3306

Phone

(305) 819-8633

Fax

(305) 819-8630

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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 FL

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

Practice roles

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.

• Pinecrest Pediatrics, P.a.

  • Pediatrics Physician
  • Hialeah, FL
  • NPI 1417047184
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831289594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566417",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332566417",
            "telephone_number": "305-819-8633",
            "fax_number": "305-819-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18590 NW 67TH AVE",
            "address_2": "SUITE # 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153306",
            "telephone_number": "305-819-8633",
            "fax_number": "305-819-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "3954626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374515500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daylen Fuentes
• Grant Alexander Fuentes
• Karem Fuentes
• Laura Fuentes
• Lindsay Fuentes, OD
• Madelin Fuentes
• Patricia Fuentes, M.S., CCC-SLP
• Sadys Maria Fuentes, MD
• Tiany Fuentes
• Marcela C Fuenzalida

• Pediatrics Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.