Individual provider Active NPI

Miriam Paula Fuentes, MSN-FNP-C

  • Family Health Clinical Nurse Specialist
  • El Paso, TX
National Provider Identifier
1891182192
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP128024 Issued in TX
Practice address
3022 Trawood
El Paso, TX 79938
Phone
(915) 855-8550
Fax
(915) 603-0428
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128024 TX
Family Health Clinical Nurse Specialist 364SF0001X AP128024 TX Primary

Addresses

Primary practice location

3022 Trawood
El Paso, TX 79938

Mailing address

3022 Trawood Dr
El Paso, TX 79936-4329
Phone (915) 855-8550

Other names 1

  • Miriam Paula Flores Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151207001374 TX Practitioner - Nurse Practitioner 5597065094 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128024TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Oct 25, 2016 Accepting new patients
Sunrise Med Clinic CurrentSince Apr 17, 2023 Accepting new patients
Sunrise Infusion Pharmacy CurrentSince Apr 17, 2023 Accepting new patients
Emergency Services of Texas PA CurrentSince Nov 1, 2015 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1397 George Dieter Dr
Ste E
El Paso, TX 79936
Phone (915) 200-3825

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 4

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1891182192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-855-8550",
            "fax_number": "915-603-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79938",
            "telephone_number": "915-855-8550",
            "fax_number": "915-603-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "MIRIAM",
        "middle_name": "PAULA",
        "name_prefix": "Ms.",
        "credential": "MSN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128024",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "AP128024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "FLORES",
            "middle_name": "PAULA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.