Ileana Fuentes Md, PA

NPI #1134535198 in Coral Gables, Florida

Provider Information

NPI Number: 1134535198
Entity Type: Organization
Organization Name: Ileana Fuentes Md, PA
Primary Specialty: Pediatrics
Enumeration Date: Jul 10, 2014
Last Updated: Jul 10, 2014

Practice Location

Address: 4343 W FLAGLER ST STE 210
City: Coral Gables
State: Florida
ZIP Code: 33134-1586
Phone: (305) 588-4290

Authorized Official

Name: DR. ILEANA FUENTES, M.D.
Title: PRESIDENT
Phone: (305) 588-4290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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