DR. MIGUEL A FUENTES (NPI# 1912098336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912098336 |
| Entity Type | Individual |
| Full Name | DR. MIGUEL A FUENTES |
| Credential | M.D. |
| Practice Address |
967 Mineral Spring Ave North Providence RI 02904-4934 |
| Practice Telephone | 4013120444 |
| Practice Fax Number | 4013120446 |
| Mailing Telephone | 4013120444 |
| Mailing Fax Number | 4013120446 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD 8499 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UNITED HEALTH PLAN | 12-02799 | 01 |
| RI | BLUE CHIP | 004777 | 01 |
| RI | NEIGHBORHOOD HEALTH PLAN | 1680 | 01 |
| RI | BLUE CROSS & BS | 22699-4 | 01 |
| RI | TUFTS | 406110 | 01 |
| RI | MS47209 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761219 | Miguel Armando Fuentes | Massage Therapist | 434 Sw 12th Ave, Suite306, Miami, FL 33130-2440 | 2013-11-12 |
| Street Address |
967 MINERAL SPRING AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891993507 | Rafael Montalvo Ayala | Pediatrics | 967 Mineral Spring Ave, North Providence, RI 02904-4934 | 2007-07-03 |
| 1285725622 | Teresa Lorena Jeraldo | Pediatrics | 967 Mineral Spring Ave, North Providence, RI 02904-4934 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1790830339 | Santiago Medical Group, Inc. | Pediatrics | 967 Mineral Spring Avenue, North Providence, RI 02904-4934 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639499395 | Jack Rusley | Pediatrics | 1 Hoppin St Ste 305, Providence, RI 02903-4141 | 2010-06-04 |
| 1285857219 | E.p. Mennillo, M.d., Inc | Pediatrics | 994 Reservoir Ave, Cranston, RI 02910-5122 | 2007-04-10 |
| 1780737296 | We Luv Kids Inc | Pediatrics | 85 Beach St # B, Westerly, RI 02891-2717 | 2007-01-19 |
| 1215015136 | Northern Rhode Island Pediatrics | Pediatrics | 2140 Mendon Rd Ste 201, Cumberland, RI 02864-3833 | 2006-11-01 |
| 1639260656 | Robert Arthur Brogan | Pediatrics | 27 Division St, East Greenwich, RI 02818-3872 | 2006-09-27 |
| 1700841616 | Lauren C Noel | Pediatrics | 46 Holley St, Wakefield, RI 02879-3325 | 2006-04-20 |
| 1093776296 | Russell Drew Stokes | Pediatrics | 85 Beach St, Suite B, Westerly, RI 02891-2717 | 2006-03-29 |
| 1497752265 | Alan Robin G. Wallace | Pediatrics | 372 Purgatory Rd, Middletown, RI 02842-5963 | 2005-07-07 |
| 1891792065 | Dante A. Ramos | Pediatrics | 126 Prospect St, Pawtucket, RI 02860-4429 | 2005-07-03 |
| 1811253370 | Just Kids R.i. Sick Care LLC | Pediatrics | 2 Meehan Ln, Cumberland, RI 02864-1413 | 2012-04-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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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.