DR. MARYLUZ FUENTES (NPI# 1528116365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528116365 |
Entity Type | Individual |
Full Name | DR. MARYLUZ FUENTES |
Credential | MD |
Practice Address |
470 Taylor Rd Suite 310 Montgomery AL 36117-3563 |
Mailing Address |
301 Brown Springs Rd Montgomery AL 36117-7005 |
Practice Telephone | 3342444322 |
Practice Fax Number | 3342444321 |
Mailing Telephone | 3342734508 |
Mailing Fax Number | 3342734290 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2019-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 276775 | MA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 296818 | NY | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 042.0014217 | VT | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | MD466152 | PA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 25MA10365200 | NJ | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | ME131656 | FL | Allopathic & Osteopathic Physicians |
Y | 207Q00000X | Family Medicine | 00024127 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS | 51542765 | 01 |
AL | VIVA | 1528116365 | 01 |
AL | HEALTHSPRING | H43033 | 01 |
AL | 009963665 | 05 |
Street Address |
470 TAYLOR RD SUITE 310 |
City | MONTGOMERY |
State | AL |
Zip Code | 36117-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357311 | Cheryl G Fekete | Pediatrics | 470 Taylor Rd, Suite 210, Montgomery, AL 36117-3563 | 2005-06-24 |
1770027146 | Wesley J. Jones | Nurse Anesthetist, Certified Registered | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2016-12-05 |
1841655172 | Montgomery Surgery Specialists | Clinic/Center | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2015-12-31 |
1700256351 | Katie Sanderson Carter | Nurse Practitioner | 470 Taylor Rd, Suite 300, Montgomery, AL 36117-3563 | 2015-09-25 |
1700291879 | Preet Kiran | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2014-06-26 |
1467866624 | Pain Treatment Centers of Alabama, PC | Pain Medicine | 470 Taylor Rd, Suite 201, Montgomery, AL 36117-3563 | 2014-06-16 |
1952712374 | Lisa Ann Goodman | Registered Nurse | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2014-05-20 |
1811232887 | Zahra Daftarian | Nurse Practitioner | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2012-12-03 |
1013287648 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Urology | 470 Taylor Rd, Suite 202, Montgomery, AL 36117-3563 | 2012-01-12 |
1679864870 | Vernishia Hill-graham | Family Medicine | 470 Taylor Rd, Suite 310, Montgomery, AL 36117-3563 | 2011-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
Find all providers in zip 36117 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
1992313670 | Integrated Medical Care Pllc | Family Medicine | 10427 Twin Circles Dr, Montgomery, TX 77356-4704 | 2020-07-17 |
1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
1508496688 | Montgomery General Hospital, Inc | Family Medicine | 401 6th Ave Ste 301, Montgomery, WV 25136-2116 | 2020-01-17 |
1427521962 | Health Services, Inc | Family Medicine | 2801 Willena Ave, Montgomery, AL 36107-1055 | 2019-01-08 |
1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
1871010223 | Micah Bosley Md, Pllc | Family Medicine | 102 Piping Rock Dr, Montgomery, TX 77356-5860 | 2017-08-26 |
1003267899 | Your Doctor's Office, PC | Family Medicine | 8630 Vaughn Rd, Montgomery, AL 36117-8852 | 2016-06-23 |
1194175513 | Miho Suga | Family Medicine | 1801 Pine St Ste 301, Montgomery, AL 36106-1154 | 2016-06-16 |
1265834618 | Sarah Elizabeth Connors | Family Medicine | 4150 Carmichael Rd Ste B, Montgomery, AL 36106-2933 | 2014-09-17 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36117 |
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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.