Fuentes, Jorge E
Fuentes, Jorge E is an sole proprietor health care provider with primary practice located at 4300 Alton Rd Ste 2070 , Miami Beach FL 33140-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fuentes, Jorge E can be contacted via phone (305) 582-8015.Contact Information
Primary practice address
4300 Alton Rd Ste 2070
Miami Beach FL 33140-2948
Phone: (305) 582-8015
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME19476 | Florida |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME119476 | Florida |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME119476 | Florida |
Profile Details
NPI number | 1528350543 |
---|---|
LBN Legal business name | Fuentes, Jorge E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2011 |
Last updated | Sep 21st, 2020 - about 4 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 | 1528350543 | NPPES |
Florida | MEDICAID | 012179700 |
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