Look up the most recent NPI and PECOS records

Sydalg Fuentes

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7000 SW 62nd Ave Ste 210, South Miami, FL 33143-4719

(786) 798-8292 (786) 800-1925

PECOS Enrollment

Based on the most recent information from CMS, provider Sydalg Fuentes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1679133763
Provider Type
Individual
Full Name
Fuentes, Sydalg
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/19/2019
Last Updated
12/14/2022

Contact Information

Practice Location

7000 SW 62nd Ave Ste 210, South Miami, FL 33143-4719

(786) 798-8292

(786) 536-7026

Mailing Location

10701 SW 142nd Ave, Miami, FL 33186-3019

(786) 800-1925

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F06191766 Florida

Sydalg Fuentes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pearson, Martha Tulia

Gottlieb, Jo Ann

Marshall, Gail

Gonzalez, Lilian

Reyno Ramos, Naime

Martinez, Yuliet

Pena, Erica Denise

Gonzalez, Rosa

Speziani, Fiorella G

Fletcher, Meghann