| Dr Miguel A Fuentes, MD | |
|
967 Mineral Spring Ave, North Providence, RI 02904-4934 | |
| (401) 312-0444 | |
| (401) 312-0446 |
| Full Name | Dr Miguel A Fuentes |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 967 Mineral Spring Ave, North Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912098336 | NPI | - | NPPES |
| 406110 | Other | RI | TUFTS |
| MS47209 | Medicaid | RI | |
| 12-02799 | Other | RI | UNITED HEALTH PLAN |
| 004777 | Other | RI | BLUE CHIP |
| 1680 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 22699-4 | Other | RI | BLUE CROSS & BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MD 8499 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miguel A Fuentes, MD 967 Mineral Spring Ave, North Providence, RI 02904-4934 Ph: (401) 312-0444 | Dr Miguel A Fuentes, MD 967 Mineral Spring Ave, North Providence, RI 02904-4934 Ph: (401) 312-0444 |
Dr. Teresa Lorena Jeraldo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 967 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-312-0444 Fax: 401-312-0446 | |
Doreen M Ciancaglini, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1169 Mineral Spring Avenue, North Providence, RI 02904 Phone: 401-725-3888 | |
Dr. Rafael Montalvo Ayala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 967 Mineral Spring Ave, North Providence, RI 02904 Phone: 401-312-0444 Fax: 401-312-0446 |