Individual provider · Type 1 NPI

Israel Abraham Gaytan Fuentes, MD

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

NPI number 1235827320 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

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 1235827320

Israel Abraham Gaytan Fuentes, MD's National Provider Identifier is 1235827320, issued on Apr 26, 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 Apr 26, 2023.