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

Mickey Fuentes, HOUSEPHYSICIAN-MD

Individual provider Gastroenterology Physician · NPI 1548985443

Mickey Fuentes, HOUSEPHYSICIAN-MD is a Gastroenterology Physician in Miami Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

4300 Alton Rd
Miami Beach, FL 33140-2948
Phone: (305) 674-2310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence HSE36496 (FL)

Record details

NPI number1548985443
Entity typeIndividual (Type 1)
GenderMale
Credentials HOUSEPHYSICIAN-MD
Sole proprietorYes
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

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