Provider Demographics
NPI:1174101141
Name:FUENTES TAPIA, CINTHYA (PA)
Entity type:Individual
Prefix:
First Name:CINTHYA
Middle Name:
Last Name:FUENTES TAPIA
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:213 HEART DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-3602
Mailing Address - Country:US
Mailing Address - Phone:956-504-3278
Mailing Address - Fax:956-504-3287
Practice Address - Street 1:614 MACO DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8450
Practice Address - Country:US
Practice Address - Phone:956-296-7000
Practice Address - Fax:956-440-9801
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA14455363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical