Individual provider · Type 1 NPI

Joaquin Eduardo Lorie Fuentes, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1194594929 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7679

Call (917) 705-9468 Map

Mailing address

445 Gerard Ave Apt W208
Bronx, NY 10451-5865

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194594929

Joaquin Eduardo Lorie Fuentes, MD's National Provider Identifier is 1194594929, issued on Dec 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Dec 20, 2023.