Fuentes, Miguel A

Fuentes, Miguel A is an individual health care provider with primary practice located at 967 Mineral Spring Ave , North Providence RI 02904-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Fuentes, Miguel A can be contacted via phone (401) 312-0444.

Contact Information

Primary practice address
967 Mineral Spring Ave North Providence RI 02904-4934
Phone: (401) 312-0444
Fax: (401) 312-0446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD 8499 Rhode Island

Profile Details

NPI number 1912098336
LBN Legal business name Fuentes, Miguel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Feb 15th, 2012 - about 13 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 1912098336 NPPES
Rhode Island Other 406110 TUFTS
Rhode Island MEDICAID MS47209 TUFTS
Rhode Island Other 12-02799 TUFTS
Rhode Island Other 004777 TUFTS
Rhode Island Other 1680 TUFTS
Rhode Island Other 22699-4 TUFTS

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