DR. GLORIA FUENTES M.D. NPI 1760415293

NPI Information

NPI: 1760415293
Provider Name: DR. GLORIA FUENTES, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4 W ROLLING CROSSROADS
SUITE 100
BALTIMORE, MD
ZIP 21228
Phone: (410) 869-0100
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DR. Gloria Fuentes, M.D. is a pediatrics in Baltimore, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Gloria Fuentes, M.D. NPI is 1760415293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 W ROLLING CROSSROADS
SUITE 100
BALTIMORE, MD
ZIP 21228-280
Phone: (410) 869-0100
Fax: (410) 869-0460

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		D0033157	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1981791	OTHER		UNITED HEALTHCARE
2	1203593	MEDICAID	MARYLAND
3	012335	OTHER	MARYLAND	JOHNS HOPKINS HEALTHCARE
4	35168804	OTHER		CAREFIRST MARYLAND
5	6763604	OTHER		CIGNA
6	7090097	OTHER		AETNA PPO
7	BE63	MEDICARE UPIN
8	B70711	MEDICARE UPIN
9	370014179	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE RAILROAD
10	435681100	MEDICAID	MARYLAND
11	110155	OTHER		COVENTRY
12	2328095	OTHER		AETNA HMO
13	93130	MEDICAID	MARYLAND
14	0028	OTHER		CAREFIRST DC
15	281932	OTHER		MAMSI
16	700904	OTHER		NCPPO
17	9974	OTHER		KAISER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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