ILEANA FUENTES MD, PA (NPI# 1134535198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134535198 |
| Entity Type | Organization |
| Organization Name | ILEANA FUENTES MD, PA |
| Practice Address |
4343 W Flagler St Ste 210 Coral Gables FL 33134-1586 |
| Mailing Address |
3150 Sw 108th Ave Miami FL 33165-2450 |
| Practice Telephone | 3055884290 |
| Mailing Telephone | 3055884290 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | DR. ILEANA FUENTES (PRESIDENT) |
| Authorized Official Telephone | 3055884290 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME75683 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4343 W FLAGLER ST STE 210 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366814568 | Gloria Lopez Md Pa | Pediatrics | 747 Ponce De Leon Blvd Ste 603, Coral Gables, FL 33134-2074 | 2015-10-27 |
| 1770963399 | Sarah Marie Selem | Pediatrics | 6920 Nervia St, Coral Gables, FL 33146-3615 | 2015-06-09 |
| 1942559398 | Gabriela Maria Saca | Pediatrics | 358 San Lorenzo Ave Ste 3230, Coral Gables, FL 33146-1448 | 2012-08-30 |
| 1245413905 | Lazaro Fraga Md Pa | Pediatrics | 4131 Sw 6th St, Coral Gables, FL 33134-2057 | 2007-12-17 |
| 1174682090 | Lazaro D Nunez | Pediatrics | 5521 Sw 8th St, Coral Gables, FL 33134-2219 | 2006-12-06 |
| 1578652954 | Dario D Lirman | Pediatrics | 1567 San Remo Ave, Coral Gables, FL 33146-3008 | 2006-10-12 |
| 1194811158 | Thesalee Nicola Randon | Pediatrics | 5955 Pouce De Leon Blvd., Coral Gables, FL 33146 | 2006-10-05 |
| 1285732164 | Gonzalo De Quesada | Pediatrics | South Dade Neonatology, 215 Grand Avenue, Coral Gables, FL 33133-4841 | 2006-09-21 |
| 1558469445 | Pedro Lopez | Pediatrics | 3311 Ponce De Leon Blvd, Coral Gables, FL 33134-7210 | 2006-09-21 |
| 1891705158 | Efrem Gubieda | Pediatrics | 4141 Sw 6th St, Coral Gables, FL 33134-2057 | 2006-08-09 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.