Juanita Renee Fuentes, RADT1R1318020818 is a
Case Manager/care Coordinator based in San Jose, California. Juanita Renee Fuentes is licensed to practice in * (Not Available) (license number ) and her current practice location is
102 S 11th St, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 998-5191.
NPI number for Juanita Renee Fuentes is 1124655642 and her current mailing address is 102 S 11th St, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124655642.
Healthcare Provider's Profile
| Full Name | Juanita Renee Fuentes |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 102 S 11th St, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124655642
- Provider Enumeration Date: 03/25/2020
- Last Update Date: 05/31/2023
Medical Identifiers
Medical identifiers for Juanita Renee Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124655642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Juanita Renee Fuentes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Juanita Renee Fuentes, RADT1R1318020818
102 S 11th St,
San Jose, CA 95112-2132
Ph: (408) 998-5191 | Juanita Renee Fuentes, RADT1R1318020818
102 S 11th St,
San Jose, CA 95112-2132
Ph: (408) 998-5191 |
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