Individual provider · Type 1 NPI

Alexander De la Riva Fuentes

General Practice Physician · Tacoma, WA

NPI number 1104680032 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-0001

Call (253) 968-3066 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X101287220 (VA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1104680032

Alexander De la Riva Fuentes's National Provider Identifier is 1104680032, issued on Feb 12, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tacoma, WA. The record was last updated on Sep 24, 2025.