Individual provider Active NPI

Cynthia A. Fuentes, NP

  • Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1962647172
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
614084 Issued in TX
Practice address
4150 Crosspoint Blvd
Edinburg, TX 78539-1803
Phone
(956) 296-3041
Fax
(956) 296-3040
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 614084 TX Primary

Addresses

Primary practice location

4150 Crosspoint Blvd
Edinburg, TX 78539-1803

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (833) 887-4863

Other identifiers 1

IdentifierTypeStateIssuer
614084OtherTXMEDICAL LIC.

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
I20090217000164 TX Practitioner - Nurse Practitioner 4284799743 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
614084TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley CurrentSince Jan 4, 2022 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jan 4, 2022 Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

4150 Crosspoint Blvd
Edinburg, TX 78539
Phone (956) 296-1960

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Interoperability endpoints

  • Direct secure messaging: cfuentes88406@direct.utmb.edu

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1962647172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "833-887-4863",
            "fax_number": "956-296-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CROSSPOINT BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391803",
            "telephone_number": "956-296-3041",
            "fax_number": "956-296-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "614084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC.",
            "identifier": "614084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.