Hernan G Fuentes (NPI# 1346213949, PAC ID# 4183650534) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1346213949 |
PAC ID by PECOS | 4183650534 |
Professional Enrollment ID | I20110318000463 |
Full Name | Hernan G Fuentes |
Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
Address |
15061 Tamiami Trl Suite 1 North Port FL 34287-2734 |
Phone Number | 9414235035 |
Gender | M |
Credential | MD |
Medical School | UNIVERSIDAD CENTRAL DEL CARIBE ESCUELA DE MEDICINA |
Graduation Year | 2000 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 8729187901 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100077 | BAYFRONT HEALTH PORT CHARLOTTE |
Address | Phone | Organization |
---|---|---|
15061 Tamiami Trl, Suite 1, North Port, FL 34287-2734 | 9414235035 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
15061 Tamiami Trl, North Port, FL 34287-2734 | 9414235035 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9417660400 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 9412060325 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
3067 Tamiami Trl, Port Charlotte, FL 33952-6619 | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
Organization Legal Name | PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura Frances Hollenbeck | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 |
Domenico Calcaterra | Thoracic Surgery | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
Kelly Anne Weaver | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 3067 Tamiami Trl, Port Charlotte, FL 33952-6619 |
Gonzalo J Carrizo | Cardiac Surgery | Port Charlotte Hma Physician Management LLC | 2525 Harbor Boulevard, Port Charlotte, FL 33952-5342 |
Chungchieh D Chou | Anesthesiology | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
Marat V Grigorov | Neurosurgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
Bridgett V Donalson | Nurse Practitioner | Port Charlotte Hma Physician Management LLC | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
Jennifer D'abarno | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
Ruben Guzman | Obstetrics/gynecology | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
Eileen C De Grandis | Vascular Surgery | Port Charlotte Hma Physician Management LLC | 1641 Tamiami Trl, Suite 2, Port Charlotte, FL 33948-1018 |
Street Address |
15061 TAMIAMI TRL SUITE 1 |
City | NORTH PORT |
State | FL |
Zip | 34287-2734 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leslie L Renner | Clinical Social Worker | Cts Addiction and Counseling Services LLC | 410 Sevilla St, A, North Port, FL 34287-1134 |
Steve J Brasington | Psychiatry | Coastal Behavioral Healthcare, Inc. | 12497 Tamiami S Trl, North Port, FL 34287-1415 |
Linda S Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
Carl W. Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
Sharose Anne Mahshie | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
Ross Allen Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
Lee Adam Grappin | Chiropractic | Grappin Clinic of Chiropractic Pa | 12511 Tamiami S Trl, North Port, FL 34287-1446 |
Robert B Briggs | Family Practice | 12450 Tamiami S Trl E, North Port, FL 34287-1473 | |
Scott Paul Kurecki | Podiatry | Scott P Kurecki Dpm Pa | 12757 S Tamiami Trl, North Port, FL 34287-1934 |
Richard R Leitzen | Podiatry | Scott P Kurecki Dpm Pa | 12757 S Tamiami Trl, North Port, FL 34287-1934 |
Find all physicians in zip 34287 |
City | NORTH PORT |
Zip Code | 34287 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | NORTH PORT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Hernan G Fuentes.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.