Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patricio X Fuentes, RPA-C

Individual provider Physician Assistant · NPI 1457796815

Patricio X Fuentes, RPA-C is a Physician Assistant in Bronx, New York. Qualified in 2013, 13 years ago. Practices with Urban Health Plan Inc, a 157-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 016531 (NY)

Record details

NPI number1457796815
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESSeptember 12, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Urban Health Plan Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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