Alexander De La Riva Fuentes

NPI #1104680032 in Tacoma, Washington

Provider Information

NPI Number: 1104680032
Entity Type: Individual
Name: Alexander De La Riva Fuentes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Feb 12, 2024
Last Updated: Sep 24, 2025

Practice Location

Address: 9040 JACKSON AVE
City: Tacoma
State: Washington
ZIP Code: 98431-0001
Phone: (253) 968-3066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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