| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALBERTO ANTONIO FUENTES | 1568472942 | 2022-01-16 |
Alberto Antonio Fuentes is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568472942. Registration indicates Alberto Antonio Fuentes is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Alberto Antonio Fuentes Ii PT |
| Practice Office Address | 2303 HOLLYWOOD BLVD HOLLYWOOD, FL US |
| Practice Office Telephone | 9545601064 |
| Mailing Address | 5800 CENTRAL AVENUE PIKE APT 4609 KNOXVILLE, TN 379122650 US |
| Business Telephone | 8134409985 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 19123
FL |
| 887269400 | MEDICAID | FL |