MEDICARE: SUSANA FUENTES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1154071272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA FUENTES

Provider Business Mailing Address
First Line	:	22561 SW 88TH PL # 2568644
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33190-2043
Country	:	US
Telephone Number	:	786-426-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	22561 SW 88TH PL # 2568644
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33190-2043
Country	:	US
Telephone Number	:	786-426-7808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	07/21/2023

Similar Medicare Providers

1619029287 — DR. GEORGE GONZALEZ M.D.
Practice Location Address:

1111 KANE CONCOURSE STE 504
BAY HARBOR ISLANDS, FL
33154-2043

Practice Phone: 305-865-1995
Practice Fax: 305-866-2920

1851920938 — DR. EVAN P GRABOIS DO
Practice Location Address:

1111 KANE CONCOURSE STE 504
BAY HARBOR ISLANDS, FL
33154-2043

Practice Phone: 645-215-2600
Practice Fax: 645-215-3200

1609637792 — JONATHAN TUMAN DDS PA
Practice Location Address:

1111 KANE CONCOURSE STE 515
BAY HARBOR ISLANDS, FL
33154-2043

Practice Phone: 305-865-7166
Practice Fax: 305-861-7870

1114816402 — BAY HARBOR PEDIATRICS
Practice Location Address:

1111 KANE CONCOURSE STE 504
BAY HARBOR ISLANDS, FL
33154-2043

Practice Phone: 645-215-2600
Practice Fax: 645-215-3200

1942169321 — YONHARA MALBOA CABRERA
Practice Location Address:

10420 SW 216TH ST APT 205
CUTLER BAY, FL
33190-1705

Practice Phone: 786-344-5170
Practice Fax:

1841159092 — NANCY ALVAREZ
Practice Location Address:

21600 SW 104TH CT APT 205
CUTLER BAY, FL
33190-1048

Practice Phone: 786-985-6044
Practice Fax:

Directions to “ SUSANA FUENTES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.