EZEQUIEL ANDRADE FUENTES (NPI# 1174064737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174064737 |
| Entity Type | Organization |
| Organization Name | EZEQUIEL ANDRADE FUENTES |
| Other Organization Name | FILADELFIA |
| Practice Address |
Calle Segunda #67 Ejido Mariano Matamoros Tijuana BAJA CALIFORNIA 22204 MX |
| Mailing Address |
4275 Executive Sq Ste 200 La Jolla CA 92037-9123 |
| Practice Telephone | 6197300171 |
| Practice Fax Number | 8662726924 |
| Mailing Telephone | 6194883200 |
| Mailing Fax Number | 8662726924 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | DR. EZEQUIEL ANDRADE (DENTIST) |
| Authorized Official Telephone | 6197300171 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7593792 | ZZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| Filadelfia | Doing Business As Name - Organization |
| Street Address |
CALLE SEGUNDA #67 EJIDO MARIANO MATAMOROS |
| City | TIJUANA |
| State | BAJA CALIFORNIA |
| Zip Code | 22204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714157 | Cielito Home Health Services, LLC | Registered Nurse | 3708 3rd. Street South, Arlington, VA 22204 | 2019-11-07 |
| 1275177438 | Annie Rachel Poole | Occupational Therapist | 2301 Columbia Pike, Suite 125, Arlington, VA 22204 | 2019-10-31 |
| 1609426436 | Daniela Patricia Jaldin | Home Health Aide | 3708 3rd St. South, Arlington, VA 22204 | 2019-09-13 |
| 1124581475 | Lisa Nemeth | Psychologist | 2110 Washington Bvld, Office of Student Services, Arlington, VA 22204 | 2019-04-12 |
| 1568946176 | Barcroft Dentistry | Dentist | 939 S. Wakefield St, Arlington, VA 22204 | 2018-09-19 |
| 1316431869 | Shannon Odom | Psychologist | Arlington Public Schools Child Find, 2110 Washington Blvd, Arlington, VA 22204 | 2018-06-19 |
| 1801301106 | Carla Janai Farley | Behavior Technician | 2726 N. Cleveland Street, Arlington, VA 22204 | 2017-12-08 |
| 1639583107 | Syeda Kutub | Optometrist | 1020 S Glebe Rd, Arlington, VA 22204 | 2014-06-12 |
| 1255769311 | Joyful Mind Counseling of Virginia | Home Health | 1804 B 9th St South, Arlington, VA 22204 | 2013-10-28 |
| 1588903520 | Lillian Erika Sobel | Social Worker | 2100 Washignton Blvd, Floor 4, Arlington, VA 22204 | 2013-02-12 |
| Find all providers in zip 22204 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803554 | Hospital Mexico De Bc Sa De Cv | Dentist | Paseo Tijuana No. 9077 Col. Empleados, Tijuana, BAJA CALIFORNIA 22010 | 2019-10-22 |
| 1912552969 | Fernando Cadena | Dentist | Brasil 183, Local 6, Tijuana, BAJA CALIFORNIA 22040 | 2019-08-07 |
| 1538720354 | Biodental Care S.c. | Dentist | C. Luis Cabrera #2071-301, Zona Urbana Rio Tijuana, Tijuana, BAJA CALIFORNIA 22010 | 2019-06-24 |
| 1760960033 | Melissa Macias | Dentist | Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 | 2018-07-30 |
| 1013495381 | Ana Acosta | Dentist | Via Rapida Oriente #4222, Tijuana, BAJA CALIFORNIA 22110 | 2018-07-30 |
| 1962980235 | Daniela Mata | Dentist | Jose Clemente Orozco #2330, Tijuana, BAJA CALIFORNIA 22010 | 2018-07-30 |
| 1386137669 | David Gomez | Dentist | Ave Mutualismo 931-b, Tijuana, BAJA CALIFORNIA 22000 | 2018-06-11 |
| 1477044303 | Rafael Chavez | Dentist | Santiago Arguello #736, Plaza Santa Cecilia, Tijuana, BAJA CALIFORNIA 22000 | 2018-05-26 |
| 1518454297 | Roberto Ruiz | Dentist | Calle 4ta #7800 - 4, Tijuana, BAJA CALIFORNIA 22000 | 2018-04-18 |
| 1720585961 | Silvia V Cobarrubias | Dentist | 1427 Melchor Ocampo, Tijuana, BAJA CALIFORNIA 22000 | 2018-04-12 |
| Find all providers in TIJUANA | ||||
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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.