Active NPI
Aura S Fuentes, M.D.
- General Practice Physician
- Jacksonville, FL
National Provider Identifier
1932546546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME155244
- Practice address
- 4401 Emerson St Ste 1
Jacksonville, FL 32207-4954 - Phone
- (904) 399-8884
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301114482 | MI | |
| General Practice Physician | 208D00000X | ME155244 | FL | Primary |
Addresses
Primary practice location
4401 Emerson St Ste 1
Jacksonville, FL 32207-4954
Mailing address
4401 Emerson St Ste 1
Jacksonville, FL 32207-4954
Phone (904) 399-8884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME155244 | FL | MD | General Practice Physician |
| 4301114482 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Henry DC LLC | Current | Accepting new patients | |
| Get Well Urgent Care Harper Woods PLC | Current | Accepting new patients | |
| Warren Urgent Care PC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients |
Locations
4401 Emerson St
Ste 1
Jacksonville, FL 32207
Phone (757) 630-0712
19959 Vernier Rd
Ste 400
Harper Woods, MI 48225
Phone (313) 499-1951
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.
-
dba Peak Performance Chiropractic & Sports Medicine
- Chiropractor
- Jacksonville, FL
- NPI 1780443077
-
- Urgent Care Clinic/Center
- Harper Woods, MI
- NPI 1609585025
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1932546546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 EMERSON ST STE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322074954",
"telephone_number": "904-399-8884",
"fax_number": "313-332-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 EMERSON ST STE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322074954",
"telephone_number": "904-399-8884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "AURA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301114482",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME155244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.