Provider Demographics
NPI:1497118681
Name:FUENTES, HUNTER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:LEE
Last Name:FUENTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1644 MEDICAL CENTER PT STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-5765
Mailing Address - Country:US
Mailing Address - Phone:719-634-1994
Mailing Address - Fax:719-634-2906
Practice Address - Street 1:1644 MEDICAL CENTER PT STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5765
Practice Address - Country:US
Practice Address - Phone:719-634-1994
Practice Address - Fax:719-634-2906
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0066222208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology