Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fidel David Banuelos, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215670906

Fidel David Banuelos, DO is a Student in an Organized Health Care Education/Training Program in Westlake, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

29000 Center Ridge Rd Ste 150
Westlake, OH 44145-5219
Phone: (440) 827-5566
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1215670906
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address29000 Center Ridge Rd Ste 150, Westlake, OH 44145-5219

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