Fuentes, Jorge E

Fuentes, Jorge E is an sole proprietor health care provider with primary practice located at 4300 Alton Rd Ste 2070 , Miami Beach FL 33140-2948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fuentes, Jorge E can be contacted via phone (305) 582-8015.

Contact Information

Primary practice address
4300 Alton Rd Ste 2070 Miami Beach FL 33140-2948
Phone: (305) 582-8015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME19476 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME119476 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME119476 Florida

Profile Details

NPI number 1528350543
LBN Legal business name Fuentes, Jorge E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2011
Last updated Sep 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528350543 NPPES
Florida MEDICAID 012179700

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