Fuentes, Ernesto

Fuentes, Ernesto is an individual health care provider with primary practice located at 601 N Flamingo Rd Suite 400, Pembroke Pines FL 33028-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fuentes, Ernesto can be contacted via phone (954) 687-9745.

Contact Information

Primary practice address
601 N Flamingo Rd Suite 400 Pembroke Pines FL 33028-1015
Phone: (954) 687-9745
Fax: (954) 666-0668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME69147 Florida

Profile Details

NPI number 1649266461
LBN Legal business name Fuentes, Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 22nd, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649266461 NPPES
Florida MEDICAID 251312900

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