Provider Demographics
NPI:1124716949
Name:FUENTES, MSN, APRN, FNP-BC, ABEL JR
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:FUENTES, MSN, APRN, FNP-BC
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5006 N 24TH LN
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4368
Mailing Address - Country:US
Mailing Address - Phone:956-648-6428
Mailing Address - Fax:
Practice Address - Street 1:5006 N 24TH LN
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4368
Practice Address - Country:US
Practice Address - Phone:956-648-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1115115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily