NICOLAS FUENTES PORTUGUEIZ

CLEVELAND, OH
NPI1093339384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  35.155337)
Enumeration Date2020-06-02
Last Update Date2026-04-19
Business Address
NICOLAS FUENTES PORTUGUEIZ M.D
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195-0001
Phone number: 216-440-2200
Mailing Address
NICOLAS FUENTES PORTUGUEIZ M.D
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195-0001
Phone number: 216-440-2200