DR. JUAN CARLOS FUENTES


Address: 559 W Twincourt Trl Unit 601, Credentialing Department, St Augustine, FL 32095-8805
Phone: 9049401441

DR. JUAN CARLOS FUENTES (NPI# 1487855987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487855987
Entity Type Individual
Full Name DR. JUAN CARLOS FUENTES
Credential M.D.
Practice Address 559 W Twincourt Trl Unit 601
Credentialing Department
St Augustine
FL 32095-8805
Mailing Address Po Box 45443
Salt Lake City
UT 84145-0443
Practice Telephone 9049401441
Practice Fax Number 9049401490
Mailing Telephone 9042021032
Mailing Fax Number 9043764107
Enumeration Date 2007-05-30
Last Update Date 2018-12-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME99492 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RAILROAD MEDICARE P01389011 01

Other Providers JUAN FUENTES

NPI Name Taxonomy Address Enumeration
1184664245 Juan D Fuentes Radiology 5444 Green St, Murray, UT 84123-5632 2006-06-07

Office Location

Street Address 559 W TWINCOURT TRL UNIT 601
CREDENTIALING DEPARTMENT
City ST AUGUSTINE
State FL
Zip Code 32095-8805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285661736 Traci L Bragg Family Medicine 559 W Twincourt Trl Unit 601, Credentialing Department, St Augustine, FL 32095-8805 2006-06-27
1366861981 Heather D Nielsen Family Medicine 559 W Twincourt Trl Unit 601, St Augustine, FL 32095-8805 2014-04-10
1235353988 Katherine Ann Wilson Physician Assistant 559 W Twincourt Trl Unit 601, St Augustine, FL 32095-8805 2007-04-12
1477635761 Benjamin D Ernst Family Medicine 559 W Twincourt Trl Unit 601, St Augustine, FL 32095-8805 2006-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124299201 Dental Health Group PC Dentist 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 2008-03-18
1932259405 Thomas E Stakem Dentist 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 2007-01-10
1942390265 Antonia Fuller Registered Nurse 354 Paseo Reyes Drive, Saint Augustine, FL 32095 2006-10-15
1740223023 First Choice Phcy Svcs LLC Pharmacy 110 Cumberland Dr #305, St Augustine, FL 32095 2006-06-14
1174029201 Aba Connection, LLC Early Intervention Provider Agency 23 Sol Ct, St Augustine, FL 32095 2018-04-05
1457437584 Stanley A Cohen Psychiatry & Neurology 354 Paseo Reyes Drive, St Augustine, FL 32095 2006-10-31
1548576150 Vicki Glabb Counselor 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 2010-08-20
1245770742 Linda Gillis Nurse Practitioner 143 Portada Dr, St Augustine, FL 32095-1634 2017-03-02
1659821767 Margo Slovis Physical Therapist 244 Vale Dr, St Augustine, FL 32095-4832 2016-10-12
1851909360 Mammography Partners LLC Clinic/Center 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 2020-07-21
Find all providers in zip 32095

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679172779 Flagler Family Nursing Home Care LLC Family Medicine 130 Healthpark Blvd, St Augustine, FL 32086-5776 2020-10-20
1023467347 Marylin Palackel James Family Medicine 110 Hampton Point Dr, St Augustine, FL 32092 2016-06-07
1821406679 Flagler Family Medicine Pa Family Medicine 315 W Town Pl Ste 1, St Augustine, FL 32092-3105 2014-07-24
1114351079 Vip Doctors Care of St Augustine LLC Family Medicine 655 State Road 207, Suite 102, St Augustine, FL 32084-5937 2013-08-28
1205085107 Imran Hyderali Rajwani Family Medicine 309 Kingsley Lake Dr, Suite No. 904, St Augustine, FL 32092-3047 2008-09-16
1851463731 Dudley Atkin Baringer Family Medicine 120 Health Park Blvd, Suite 1, St Augustine, FL 32086-3701 2006-11-15
1932215571 Anastasia Family and Urgent Care Family Medicine 103 Anastasia Blvd, St Augustine, FL 32080-4503 2006-08-23
1649383845 Roy H Hinman Md Pa Family Medicine 100 Arricola Avenue, St Augustine, FL 32080-4515 2006-08-15
1710090915 Daniel J Donofrio Family Medicine 1099 A1a Beach Blvd, St Augustine, FL 32080 2006-08-15
1225051238 Zehra Cumber Family Medicine 1955 Us 1 S Ste 100, St Augustine, FL 32086-5788 2006-07-25
Find all providers in ST AUGUSTINE

Competitor

Search similar providers

City ST AUGUSTINE
Zip Code 32095

Improve Information

Please comment or provide details below to improve the information on DR. JUAN CARLOS FUENTES.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches