DR. LUIS FUENTES III (NPI# 1487030417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487030417 |
Entity Type | Individual |
Full Name | DR. LUIS FUENTES III |
Credential | D.O. |
Practice Address |
4818 Holly Rd Ste A Corpus Christi TX 78411 |
Mailing Address |
1641 Nile Dr Apt 422 Corpus Christi TX 78412-4965 |
Practice Telephone | 3619931747 |
Practice Fax Number | 3619931748 |
Mailing Telephone | 9562365477 |
Enumeration Date | 2015-07-31 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | R8190 | TX | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | BP10053714 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982731105 | Luis A Fuentes Sr. | Pharmacist | 40 Calle Georgetti, Comerio, PR 00782-2537 | 2007-02-27 |
1093704546 | Luis Alberto Fuentes | Personal Emergency Response Attendant | Hospital Cristo Redentor, Guayama, Guayama, PR 00785 | 2005-10-18 |
1518513951 | Luis Alberto Fuentes | Spec/Tech, Health Info | 2970 Market St, San Diego, CA 92102-3296 | 2019-08-12 |
1700820024 | Luis Fuentes | Acupuncturist | 9420 Sw 77th Ave, Suite 101, Miami, FL 33156-7988 | 2006-06-16 |
Street Address |
4818 HOLLY RD STE A |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
1356730212 | Kim Marie Lindsey | Speech-Language Pathologist | 4202 Hermosa Dr, Corpus Christi, TX 78411 | 2015-01-15 |
Find all providers in zip 78411 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306201207 | Susan Comer | General Practice | 15394 Caravel Dr, Corpus Christi, TX 78418-6310 | 2015-12-18 |
1407166614 | Clark Hayden Stearns | General Practice | 6031 Lost Creek Drive, Corpus Christi, TX 78413-3808 | 2010-10-21 |
1174837181 | Family Health Spa LLC | General Practice | 10102 S Padre Island Dr, Corpus Christi, TX 78418-4410 | 2010-08-02 |
1902044316 | Lonnie Schwirtlich | General Practice | 745 Everhart Rd, Ste. B, Corpus Christi, TX 78411-1942 | 2009-01-23 |
1659410348 | Judith Piner | General Practice | 3213 Holly Rd, Corpus Christi, TX 78415-3216 | 2007-02-06 |
1922084227 | Thomas Spann Clinic, Pa | General Practice | 7121 South Padre Island Drive, Ste 300, Corpus Christi, TX 78412-4940 | 2005-12-19 |
1023658879 | Morgan Primary Care Pllc | General Practice | 2202 Morgan Ave, Corpus Christi, TX 78405-1909 | 2020-01-09 |
1487291142 | Corpus Christi Regenerative Therapy Pllc | General Practice | 4455 S Padre Island Dr Ste 13, Corpus Christi, TX 78411-5161 | 2019-12-02 |
1245606540 | Lindsey Goosherst | General Practice | 4818 Holly Rd, Corpus Christi, TX 78411-4734 | 2015-08-20 |
1215275110 | Rhett Arthur Ketschke | General Practice | 10651 E St, Corpus Christi, TX 78419-5130 | 2013-01-28 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78411 |
Please comment or provide details below to improve the information on DR. LUIS FUENTES III.
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.