Individual provider · Type 1 NPI

Roger Fuentes

Rehabilitation Practitioner · Lodi, CA

NPI number 1619764644 Active

Practice location

408 E Pine St
Lodi, CA 95240-2923

Call (209) 369-1398 Map

Mailing address

1824 St Mayeul Dr
Modesto, CA 95356-8402

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1619764644

Roger Fuentes's National Provider Identifier is 1619764644, issued on Apr 23, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lodi, CA. The record was last updated on Jun 17, 2025.