De La Fuente, Luis Fernandez
De La Fuente, Luis Fernandez is an individual health care provider with primary practice located at 700 Quincy Ave 5Th Fl, Scranton PA 18510-1798. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. De La Fuente, Luis Fernandez can be contacted via phone (570) 340-2552.Contact Information
Primary practice address
700 Quincy Ave 5Th Fl
Scranton PA 18510-1798
Phone: (570) 340-2552
Fax: (570) 340-2446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD071376L | Pennsylvania |
Profile Details
| NPI number | 1629271580 |
|---|---|
| LBN Legal business name | De La Fuente, Luis Fernandez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Aug 20th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629271580 | NPPES |
| Pennsylvania | MEDICAID | 001845744 |
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