JOSE N FUENTES (NPI# 1285654319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285654319 |
| Entity Type | Individual |
| Full Name | JOSE N FUENTES |
| Credential | MD |
| Practice Address |
5245 Us Highway 98 N Lakeland FL 33809 |
| Mailing Address |
5425 S Florida Ave Lakeland FL 33813-2523 |
| Practice Telephone | 8636061616 |
| Practice Fax Number | 8636443171 |
| Mailing Telephone | 8636443585 |
| Mailing Fax Number | 8636443171 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME137036 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD058269L | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MA60596 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6693903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609200781 | Jose Eliud Fuentes | Ophthalmology | 5533 Ocean Drive, Corpus Christi, TX 78412 | 2013-08-26 |
| 1578894762 | Jose Luis Fuentes | Massage Therapist | 6290 W Sample Rd, #102, Coral Springs, FL 33067-3101 | 2010-01-27 |
| 1316124969 | Jose L Fuentes | Clinical Neuropsychologist | 24230 Barton Rd, Loma Linda, CA 92354-3232 | 2008-01-25 |
| 1306944947 | Jose Fuentes | Internal Medicine | 2500 Grant Rd Fl 2, Mountain View, CA 94040-4302 | 2006-09-20 |
| 1346228335 | Jose A. Fuentes Jr. | Preventive Medicine | 26 Calle Jimenez Sicardo, Caguas, PR 00725-3737 | 2006-01-09 |
| 1619962446 | Jose R Fuentes | Anesthesiology | 1000 Carr 831 Apt 2031, Cond La Floresta, Bayamon, PR 00956-9558 | 2005-09-19 |
| 1952952657 | Jose Fuentes | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2019-09-24 |
| 1821563420 | Jose Fuentes | Technician | 813 N Ware Rd Ste A, Mcallen, TX 78501-6614 | 2018-10-10 |
| 1235184821 | Jose Armondo Fuentes | General Practice | 214 W Colorado Blvd, Dallas, TX 75208-2326 | 2006-05-23 |
| Street Address |
5245 US HIGHWAY 98 N |
| City | LAKELAND |
| State | FL |
| Zip Code | 33809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538157862 | Vivian Virella | General Practice | 5245 Us Highway 98 N, Lakeland, FL 33809-0516 | 2005-10-11 |
| 1275084592 | Ijeoma Agbara | Pharmacist | 5245 Us Highway 98 N, Lakeland, FL 33809-0516 | 2016-10-21 |
| 1306270509 | David Sanjuan | General Practice | 5245 Us Highway 98 N, Lakeland, FL 33809-0516 | 2013-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376189209 | Julie Independence Tomchak | Nurse's Aide | 7805 Us Highway Lot 29 # 98 N, Lakeland, FL 33809 | 2019-11-26 |
| 1912465923 | Lakeland Oaks Nh LLC | Skilled Nursing Facility | 855 Carpenters Way, Lakeland, FL 33809 | 2019-03-08 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1548679616 | Ashley Frances Hamarowicz | Physical Therapist | 771 Carpenters Way, Lakeland, FL 33809 | 2014-08-04 |
| 1750700860 | Grace Manor Suites | Assisted Living Facility | 4620 N Socrum Loop Road, Lakeland, FL 33809 | 2014-04-16 |
| 1164769980 | Christopher Fisher | Hearing Instrument Specialist | 3800 North Rd 98, Ste 500, Lakeland, FL 33809 | 2013-01-14 |
| 1023374063 | Eagle Lake Pharmacy Inc | Pharmacy | 5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809 | 2012-04-04 |
| 1851669675 | Reginald Keith Jenkins | Pharmacist | 1043 Walt Williams Road, Lakeland, FL 33809 | 2011-12-07 |
| 1578859633 | Jill Margaret Waldrop | Pharmacist | 6600 N. Socrum Loop, Lakeland, FL 33809 | 2011-06-27 |
| Find all providers in zip 33809 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681129 | Christine Kor-aronski | Internal Medicine | 6568 Highlands In The Woods Blvd, Lakeland, FL 33813-3807 | 2020-05-19 |
| 1790323665 | Lopez Garcia Md Pa | Internal Medicine | 2022 Emerald Ridge Dr, Lakeland, FL 33813-5224 | 2019-12-11 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1528406725 | Paul Eude Saint-fleur | Internal Medicine | 1114 S Florida Ave, Lakeland, FL 33803-1308 | 2013-06-10 |
| 1114361839 | Alexandra Marie Ristow | Internal Medicine | 4715 S Florida Ave # 200, Lakeland, FL 33813-2101 | 2013-04-24 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255650636 | E & M Medical Group Pa | Internal Medicine | 4730 Exploration Ave, Lakeland, FL 33812-3319 | 2010-05-24 |
| 1740511120 | South Florida Medical Clinic Inc. | Internal Medicine | 3129 S Florida Ave, Lakeland, FL 33803-4563 | 2010-01-25 |
| 1770812372 | Maria Solina Napiza Oconer | Internal Medicine | 5135 Us Highway 98 N, Lakeland, FL 33809-0514 | 2009-12-10 |
| 1588893994 | Yatin Kheti | Internal Medicine | Lakeland Regional Health, 3030 Harden Blvd, Lakeland, FL 33803 | 2009-07-07 |
| Find all providers in LAKELAND | ||||
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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.